Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $142.26 / $179.10	Facility		$110.15	$142.26	$179.10
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 $110.15 / $142.26 / $179.10	Facility		$110.15	$142.26	$179.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $1,800,000.00 / $2,400,000.00	Professional		$66.00	$1,800,000.00	$2,400,000.00