Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $29.20	Professional		$29.20	$29.20	$29.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $40.88	Facility		$29.20	$29.20	$40.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $58.79 / $3,495.87	Facility		$58.79	$58.79	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $41.76	Facility		$29.20	$29.20	$41.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $2,250,000.00	Professional		$18.39	$18.39	$2,250,000.00