Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.47 / $350.47 / $350.47	Facility		$350.47	$350.47	$350.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $1.12	Facility		$0.52	$0.52	$1.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.42 / $79,999.20 / $79,999.20	Facility		$366.42	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $1.12	Facility		$0.52	$0.52	$1.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $2,400,000.00	Professional		$6.87	$6.87	$2,400,000.00