Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $28.61	Professional		$14.05	$14.05	$28.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.75 / $101.40	Facility		$14.05	$14.75	$101.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $79,999.20	Facility		$19.14	$19.14	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $101.40	Facility		$14.05	$14.05	$101.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $2,250,000.00 / $2,400,000.00	Professional		$7.85	$2,250,000.00	$2,400,000.00