Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.55 / $17.53	Professional		$14.02	$14.55	$17.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $124.10	Facility		$70.00	$70.00	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $67.31	Professional		$62.05	$62.05	$67.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.72 / $43.91	Facility		$14.55	$14.72	$43.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $34.97 / $62.05	Professional		$34.97	$34.97	$62.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Facility		$62.05	$62.05	$62.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.72 / $66.40	Facility		$14.55	$14.72	$66.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $67.31 / $2,400,000.00	Professional		$62.05	$67.31	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $71.36	Professional		$62.05	$62.05	$71.36