Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Professional		$29.74	$29.74	$29.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $41.64	Facility		$29.74	$29.74	$41.64
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 $29.74 / $29.74 / $41.64	Facility		$29.74	$29.74	$41.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $2,250,000.00	Professional		$872.98	$872.98	$2,250,000.00