Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.76	Facility		$1.26	$1.26	$1.76
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 $1.26 / $1.26 / $1.76	Facility		$1.26	$1.26	$1.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $2,250,000.00	Professional		$196.48	$196.48	$2,250,000.00