Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.82	Professional		$1.75	$1.75	$1.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $3.76	Facility		$1.75	$1.75	$3.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $79,999.20 / $79,999.20	Facility		$0.46	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $3.76	Facility		$1.75	$1.75	$3.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $2,250,000.00 / $2,400,000.00	Professional		$0.20	$2,250,000.00	$2,400,000.00