Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.73 / $253.73 / $253.73	Facility		$253.73	$253.73	$253.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $195.18 / $195.18	Professional		$121.00	$195.18	$195.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $195.18 / $195.18	Facility		$122.94	$195.18	$195.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $195.18 / $195.18	Facility		$122.94	$195.18	$195.18
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