Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $43.09	Facility		$30.78	$30.78	$43.09
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 $30.78 / $30.78 / $43.09	Facility		$30.78	$30.78	$43.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $2,400,000.00	Professional		$19.38	$19.38	$2,400,000.00