Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Professional		$65.91	$65.91	$376.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $91.91 / $91.91	Facility		$91.91	$91.91	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $135.16 / $135.16	Professional		$135.16	$135.16	$135.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $104.80	Facility		$65.91	$65.91	$104.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $1,072.00 / $79,999.20	Facility		$669.00	$1,072.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $104.80	Facility		$65.91	$65.91	$104.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,400,000.00