Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Professional		$48.98	$48.98	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,288.25	Professional		$1,096.48	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Facility		$50.12	$50.12	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $2,691,534.80	Facility		$50.12	$67.61	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,096.48	Professional		$79.43	$1,096.48	$1,096.48