Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $5.28	Facility		$2.64	$2.64	$5.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.64	Professional		$2.19	$2.19	$2.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $4.48	Facility		$4.48	$4.48	$4.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.43	Professional		$2.24	$2.24	$2.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.13 / $4.71	Facility		$2.19	$3.13	$4.71
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 $2.19 / $3.13 / $2,400,000.00	Facility		$2.19	$3.13	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.43	Professional		$2.24	$2.24	$2.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24