Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.42 / $675.42 / $675.42	Facility		$675.42	$675.42	$675.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $495.73 / $519.54	Professional		$360.00	$495.73	$519.54
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 $400.00 / $519.54 / $589.76	Facility		$400.00	$519.54	$589.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $519.54 / $589.76	Facility		$400.00	$519.54	$589.76
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