Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $30.46	Professional		$24.37	$24.37	$30.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $31.83	Professional		$22.28	$22.28	$31.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $92.50 / $115.58	Professional		$21.46	$92.50	$115.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $100.50 / $2,400,000.00	Professional		$25.39	$100.50	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $53.88 / $81.56	Professional		$13.95	$53.88	$81.56