Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $40.08	Facility		$20.04	$20.04	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $20.04	Professional		$16.63	$16.63	$20.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.43	Professional		$16.98	$16.98	$18.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $23.78 / $35.75	Facility		$16.63	$23.78	$35.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $16.63 / $23.78 / $2,400,000.00	Facility		$16.63	$23.78	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.43	Professional		$16.98	$16.98	$18.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04