Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.04 / $1,420.43 / $4,634.39	Facility		$412.04	$1,420.43	$4,634.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Professional		$3.46	$3.46	$3.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.46 / $4.84	Facility		$3.46	$3.46	$4.84
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 $3.46 / $3.46 / $4.84	Facility		$3.46	$3.46	$4.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $2,250,000.00	Professional		$217.98	$217.98	$2,250,000.00