Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.15 / $23.15	Professional		$5.00	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $23.15 / $84.75	Facility		$5.00	$23.15	$84.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.22 / $390.22 / $390.22	Professional		$390.22	$390.22	$390.22
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 $5.00 / $23.15 / $84.75	Facility		$5.00	$23.15	$84.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $2,250,000.00	Professional		$50.59	$50.59	$2,250,000.00