Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $32.40	Facility		$16.20	$16.20	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.45 / $16.20	Professional		$12.96	$13.45	$16.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $64.00	Facility		$26.50	$26.50	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $15.00	Professional		$13.25	$13.25	$15.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.45 / $21.87	Facility		$13.28	$13.45	$21.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $13.45 / $28.92	Facility		$13.45	$13.45	$28.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $14.37 / $2,400,000.00	Professional		$13.25	$14.37	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $15.24	Professional		$13.25	$13.25	$15.24