Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.00 / $16.04	Professional		$10.00	$11.00	$16.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $79,999.20	Facility		$1,105.71	$1,105.71	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $1,105.71	Professional		$1,105.71	$1,105.71	$1,105.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $2,400,000.00	Facility		$10.00	$10.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $2,250,000.00 / $2,400,000.00	Professional		$0.12	$2,250,000.00	$2,400,000.00