Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $22.84 / $22.84	Facility		$22.84	$22.84	$22.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $52.80	Professional		$17.66	$17.66	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $18.54 / $48.00	Facility		$17.66	$18.54	$48.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $79,999.20	Facility		$179.39	$179.39	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Facility		$17.66	$17.66	$48.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $2,250,000.00 / $2,400,000.00	Professional		$19.50	$2,250,000.00	$2,400,000.00