Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $109.28	Professional		$109.28	$109.28	$109.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $109.28 / $152.99	Facility		$109.28	$109.28	$152.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $91.98 / $3,495.87	Facility		$75.06	$91.98	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $109.28 / $152.99	Facility		$75.06	$109.28	$152.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $2,400,000.00	Professional		$68.81	$68.81	$2,400,000.00