Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.79	Professional		$118.13	$130.08	$130.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $182.11	Facility		$130.08	$130.08	$182.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.82 / $302.82 / $302.82	Professional		$302.82	$302.82	$302.82
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 $130.08 / $130.08 / $182.11	Facility		$130.08	$130.08	$182.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $2,400,000.00	Professional		$13.17	$13.17	$2,400,000.00