Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Professional		$118.61	$118.61	$118.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $166.05	Facility		$118.61	$118.61	$166.05
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 $118.61 / $118.61 / $166.05	Facility		$118.61	$118.61	$166.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $2,250,000.00	Professional		$14.23	$14.23	$2,250,000.00