Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Facility		$49.91	$49.91	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,300.00	Professional		$1,105.00	$1,300.00	$1,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $68.38	Facility		$49.91	$49.91	$68.38
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 $49.91 / $52.41 / $2,700,000.00	Facility		$49.91	$52.41	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $2,400,000.00	Professional		$1,105.00	$1,300.00	$2,400,000.00