Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Facility		$220.00	$220.00	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $20.32 / $25.41	Professional		$19.21	$20.32	$25.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $21.35 / $43.71	Facility		$20.32	$21.35	$43.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $103.23 / $79,999.20	Facility		$103.23	$103.23	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $21.35 / $43.71	Facility		$20.32	$21.35	$43.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00