Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $70.95	Facility		$35.47	$35.47	$70.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $35.47	Professional		$29.45	$29.45	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $60.16 / $60.16	Facility		$60.16	$60.16	$60.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $32.63	Professional		$30.08	$30.08	$32.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $42.11 / $63.32	Facility		$29.45	$42.11	$63.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $17,150.38 / $18,772.80	Professional		$37.60	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $79,999.20	Facility		$30.08	$30.08	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $42.11 / $2,400,000.00	Facility		$29.45	$42.11	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $32.63	Professional		$30.08	$30.08	$32.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $36.10	Professional		$30.08	$30.08	$36.10