Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.81 / $195.50 / $755.66	Facility		$84.81	$195.50	$755.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $126.62 / $800.00	Professional		$95.02	$126.62	$800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $108.49 / $219.60	Facility		$102.14	$108.49	$219.60
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 $102.14 / $107.25 / $219.60	Facility		$102.14	$107.25	$219.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $2,400,000.00	Professional		$119.90	$119.90	$2,400,000.00