Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.18 / $0.18	Facility		$0.05	$0.18	$0.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Facility		$0.05	$0.05	$0.07
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 $0.05 / $0.05 / $0.07	Facility		$0.05	$0.05	$0.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $2,250,000.00	Professional		$20.03	$20.03	$2,250,000.00