Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $36.01 / $36.01	Professional		$33.57	$36.01	$36.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $26.20	Professional		$26.20	$26.20	$26.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $36.01 / $62.81	Facility		$36.01	$36.01	$62.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Facility		$37.20	$37.20	$37.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $36.01 / $77.42	Facility		$36.01	$36.01	$77.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $2,250,000.00	Professional		$103.00	$103.00	$2,250,000.00