Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $551.50 / $985.39	Facility		$4.50	$551.50	$985.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $13.76	Professional		$2.87	$2.87	$13.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $509.49 / $509.49 / $509.49	Facility		$509.49	$509.49	$509.49
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 $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2,250,000.00	Professional		$2.87	$2.87	$2,250,000.00