Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $262.50 / $1,829.27	Professional		$1.00	$262.50	$1,829.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $99.89	Professional		$99.89	$99.89	$99.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $79,999.20	Facility		$4,000.00	$4,000.00	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Professional		$4,000.00	$4,000.00	$4,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $2,700,000.00 / $2,700,000.00	Facility		$125.00	$2,700,000.00	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $2,250,000.00 / $2,400,000.00	Professional		$99.89	$2,250,000.00	$2,400,000.00