Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $55.76 / $94.75	Facility		$33.57	$55.76	$94.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $27.07 / $27.07	Professional		$4.20	$27.07	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Facility		$22.31	$22.31	$22.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $11.87	Professional		$9.50	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $7.68	Facility		$4.20	$4.20	$7.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $32.32	Professional		$8.08	$8.08	$32.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $31.11 / $32.32	Facility		$29.90	$31.11	$32.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.12 / $32.32	Professional		$7.27	$12.12	$32.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $9.28	Facility		$4.20	$4.20	$9.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.08 / $22.22	Professional		$7.68	$8.08	$22.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $16.16 / $24.38	Professional		$3.64	$16.16	$24.38