Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.00 / $97.00	Professional		$80.00	$97.00	$97.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $94.60	Professional		$69.06	$69.06	$94.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.00 / $132.88	Facility		$80.00	$97.00	$132.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $244.46 / $79,999.20	Facility		$244.46	$244.46	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.00 / $138.71	Facility		$80.00	$97.00	$138.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $94.60 / $2,400,000.00	Professional		$69.06	$94.60	$2,400,000.00