Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $3.28	Facility		$1.64	$1.64	$3.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $1.64	Professional		$1.36	$1.36	$1.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $2.78 / $2.78	Facility		$2.78	$2.78	$2.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.94 / $2.92	Facility		$1.36	$1.94	$2.92
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 $1.36 / $1.94 / $2,400,000.00	Facility		$1.36	$1.94	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64