Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $49.21 / $98.42	Facility		$49.21	$49.21	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $40.84 / $49.21	Professional		$40.84	$40.84	$49.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $51.44 / $51.44	Facility		$51.44	$51.44	$51.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $27.90	Professional		$25.72	$25.72	$27.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $56.42 / $66.65	Facility		$33.21	$56.42	$66.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $28.12 / $17,728.12	Professional		$26.04	$28.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $25.72 / $79,999.20	Facility		$25.72	$25.72	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $51.44 / $66.65	Facility		$39.29	$51.44	$66.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $40.36 / $2,250,000.00	Professional		$25.72	$40.36	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $71.44 / $82.16	Professional		$60.72	$71.44	$82.16