Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $3.93	Facility		$2.81	$2.81	$3.93
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 $2.81 / $2.81 / $3.93	Facility		$2.81	$2.81	$3.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $2,250,000.00	Professional		$99.00	$99.00	$2,250,000.00