Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $103.52 / $103.52	Facility		$103.52	$103.52	$103.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $102.58 / $126.07	Professional		$96.72	$102.58	$126.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $101.56 / $207.95	Facility		$96.72	$101.56	$207.95
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 $96.72 / $101.56 / $207.95	Facility		$96.72	$101.56	$207.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $2,250,000.00	Professional		$58.65	$58.65	$2,250,000.00