Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $69.29	Facility		$63.28	$63.28	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $72.38	Professional		$63.28	$69.29	$72.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Facility		$127.68	$127.68	$127.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $104.92 / $104.92	Professional		$104.92	$104.92	$104.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $90.08	Facility		$63.28	$69.29	$90.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $37.42 / $37.42	Facility		$22.45	$37.42	$37.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $90.08	Facility		$63.28	$69.29	$90.08
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