Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Facility		$104.00	$104.00	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $94.96 / $148.38	Facility		$94.96	$94.96	$148.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $94.96 / $148.38	Facility		$94.96	$94.96	$148.38
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