Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Facility		$15.90	$15.90	$15.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $12.52	Professional		$10.43	$10.68	$12.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $11.21 / $20.75	Facility		$10.43	$11.21	$20.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.93	Professional		$11.05	$11.05	$11.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $11.94	Facility		$11.66	$11.66	$11.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $11.21 / $22.96	Facility		$10.43	$11.21	$22.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $2,400,000.00	Professional		$7.87	$7.87	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $13.45	Professional		$12.57	$12.57	$13.45