Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $52.02	Facility		$37.15	$37.15	$52.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $52.02	Facility		$37.15	$37.15	$52.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $2,250,000.00	Professional		$19.36	$19.36	$2,250,000.00