Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $130.69	Professional		$78.12	$112.32	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $112.32 / $146.02	Facility		$78.12	$112.32	$146.02
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 $83.00 / $112.32 / $146.02	Facility		$83.00	$112.32	$146.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $1,800,000.00 / $2,400,000.00	Professional		$2.00	$1,800,000.00	$2,400,000.00