Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Professional		$174.10	$174.10	$174.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $504.89	Facility		$174.10	$174.10	$504.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $504.89	Facility		$174.10	$174.10	$504.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $2,400,000.00	Professional		$161.72	$161.72	$2,400,000.00