Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Facility		$24.91	$24.91	$24.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.91	Professional		$19.57	$19.57	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $20.55 / $26.81	Facility		$19.57	$20.55	$26.81
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 $19.57 / $20.55 / $27.99	Facility		$19.57	$20.55	$27.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $2,400,000.00	Professional		$17.32	$23.72	$2,400,000.00