Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Facility		$33.33	$33.33	$33.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $34.49 / $68.98	Professional		$33.33	$34.49	$68.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $36.21 / $243.79	Facility		$34.49	$36.21	$243.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $34.49 / $243.79	Facility		$34.49	$34.49	$243.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2,250,000.00 / $2,400,000.00	Professional		$2.02	$2,250,000.00	$2,400,000.00