Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $34.25	Facility		$25.00	$25.00	$34.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $39.29 / $79,999.20	Facility		$39.29	$39.29	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $39.29	Professional		$39.29	$39.29	$39.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $35.75	Facility		$25.00	$25.00	$35.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $2,250,000.00 / $2,400,000.00	Professional		$23.90	$2,250,000.00	$2,400,000.00