Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $10.50	Facility		$7.50	$7.50	$10.50
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 $7.50 / $7.50 / $10.50	Facility		$7.50	$7.50	$10.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $2,250,000.00	Professional		$4.37	$4.37	$2,250,000.00