Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $29.04	Facility		$14.52	$14.52	$29.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $14.52	Professional		$12.05	$12.05	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $15.75	Professional		$14.52	$14.52	$15.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $17.23 / $26.87	Facility		$12.05	$17.23	$26.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $20.03 / $30.20	Professional		$15.63	$20.03	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $79,999.20	Facility		$14.52	$14.52	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $25.91 / $2,400,000.00	Facility		$12.05	$25.91	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.44 / $30.20	Professional		$14.52	$16.44	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52