Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $44.80	Facility		$32.00	$32.00	$44.80
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 $32.00 / $32.00 / $44.80	Facility		$32.00	$32.00	$44.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $2,250,000.00	Professional		$17.20	$17.20	$2,250,000.00