Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.20	Professional		$0.96	$0.96	$1.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.51	Facility		$0.96	$0.96	$1.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $3.60 / $3.60	Professional		$0.62	$3.60	$3.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Facility		$0.62	$0.62	$0.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $2.06	Facility		$0.96	$0.96	$2.06
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
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.64	Professional		$0.56	$0.56	$0.64