Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Facility		$99.00	$99.00	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $99.00	Professional		$0.80	$0.80	$99.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $2.39	Facility		$0.80	$0.84	$2.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $256.41 / $79,999.20	Facility		$256.41	$256.41	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $2.39	Facility		$0.80	$0.84	$2.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00