Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.79 / $389.79 / $389.79	Facility		$389.79	$389.79	$389.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $365.38	Professional		$299.83	$299.83	$365.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $299.83 / $381.65	Facility		$283.45	$299.83	$381.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $299.83 / $381.65	Facility		$283.45	$299.83	$381.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12