Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $2.37	Facility		$1.69	$1.69	$2.37
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 $1.69 / $1.69 / $2.37	Facility		$1.69	$1.69	$2.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $2,400,000.00	Professional		$1.89	$1.89	$2,400,000.00