Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $41.10	Facility		$30.00	$30.00	$41.10
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 $30.00 / $30.00 / $42.90	Facility		$30.00	$30.00	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $2,250,000.00 / $2,400,000.00	Professional		$19.32	$2,250,000.00	$2,400,000.00