Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $7.00	Facility		$5.00	$5.00	$7.00
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 $5.00 / $5.00 / $7.00	Facility		$5.00	$5.00	$7.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $2,250,000.00	Professional		$31.24	$31.24	$2,250,000.00