Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $23.02 / $23.02	Professional		$23.02	$23.02	$23.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $24.13	Professional		$17.05	$17.05	$24.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $23.02 / $32.22	Facility		$17.05	$23.02	$32.22
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 $17.05 / $23.02 / $32.22	Facility		$17.05	$23.02	$32.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $2,250,000.00	Professional		$17.05	$17.05	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $26.05 / $51.89	Professional		$25.58	$26.05	$51.89