Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $9.49 / $18.98	Facility		$9.49	$9.49	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $9.49	Professional		$7.88	$7.88	$9.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $11.27 / $16.94	Facility		$7.88	$11.27	$16.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $17,150.38 / $18,772.80	Professional		$9.49	$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 $7.88 / $11.27 / $2,400,000.00	Facility		$7.88	$11.27	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $11.39	Professional		$9.49	$9.49	$11.39