Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $5.66	Facility		$4.04	$4.04	$5.66
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 $4.04 / $4.04 / $5.66	Facility		$4.04	$4.04	$5.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2,400,000.00	Professional		$2.98	$2.98	$2,400,000.00