Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $22.00	Professional		$20.00	$20.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $117.89 / $117.89	Professional		$117.89	$117.89	$117.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $27.40	Facility		$20.00	$20.00	$27.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $239.20 / $79,999.20	Facility		$239.20	$239.20	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $239.20 / $239.20	Professional		$239.20	$239.20	$239.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $28.60	Facility		$20.00	$20.00	$28.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $2,250,000.00 / $2,400,000.00	Professional		$117.89	$2,250,000.00	$2,400,000.00