Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Professional		$25.47	$25.47	$25.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $155.19	Professional		$155.19	$155.19	$155.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $26.74 / $34.89	Facility		$25.47	$26.74	$34.89
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 $25.47 / $25.47 / $34.89	Facility		$25.47	$25.47	$34.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $2,250,000.00 / $2,400,000.00	Professional		$155.19	$2,250,000.00	$2,400,000.00