Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $29.40 / $58.80	Facility		$29.40	$29.40	$58.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.40 / $30.74	Professional		$24.39	$24.40	$30.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $26.58	Professional		$24.50	$24.50	$26.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $34.89 / $52.46	Facility		$24.40	$34.89	$52.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Professional		$30.63	$30.63	$30.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $79,999.20	Facility		$24.50	$24.50	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $34.89 / $2,400,000.00	Facility		$24.40	$34.89	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $26.58	Professional		$24.50	$24.50	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $29.40	Professional		$29.40	$29.40	$29.40