Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $5.60	Facility		$4.00	$4.00	$5.60
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 $4.00 / $4.00 / $5.60	Facility		$4.00	$4.00	$5.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2,400,000.00	Professional		$1.76	$1.76	$2,400,000.00