Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.84	Facility		$2.02	$2.02	$2.84
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 $2.02 / $2.02 / $2.84	Facility		$2.02	$2.02	$2.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $2,250,000.00	Professional		$93.87	$93.87	$2,250,000.00