Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,247.00 / $16,247.00 / $16,247.00	Facility		$16,247.00	$16,247.00	$16,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,531.66 / $13,531.66 / $16,247.00	Professional		$13,531.66	$13,531.66	$16,247.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,619.91 / $11,619.91 / $11,619.91	Facility		$11,619.91	$11,619.91	$11,619.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,876.92 / $9,876.92 / $11,619.91	Professional		$9,876.92	$9,876.92	$11,619.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,156.60 / $13,531.66 / $18,538.37	Facility		$8,156.60	$13,531.66	$18,538.37
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 $8,156.60 / $13,531.66 / $2,700,000.00	Facility		$8,156.60	$13,531.66	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,876.92 / $2,250,000.00 / $2,400,000.00	Professional		$9,876.92	$2,250,000.00	$2,400,000.00