Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.88 / $88.88 / $177.76	Facility		$88.88	$88.88	$177.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.77 / $88.88	Professional		$73.77	$73.77	$88.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $151.10 / $151.10	Facility		$151.10	$151.10	$151.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $105.49 / $158.61	Facility		$73.77	$105.49	$158.61
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 $73.77 / $105.49 / $2,400,000.00	Facility		$73.77	$105.49	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88