Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $237.75	Professional		$117.95	$237.75	$237.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $237.75 / $447.24	Facility		$155.18	$237.75	$447.24
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 $155.18 / $237.75 / $447.24	Facility		$155.18	$237.75	$447.24
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