Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $61.65	Facility		$45.00	$45.00	$61.65
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 $45.00 / $45.00 / $379.93	Facility		$45.00	$45.00	$379.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $2,250,000.00 / $2,400,000.00	Professional		$277.35	$2,250,000.00	$2,400,000.00