Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $94.97 / $161.35	Facility		$20.36	$94.97	$161.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $46.10 / $52.76	Professional		$12.66	$46.10	$52.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.11 / $20.13	Professional		$10.16	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $55.04	Professional		$13.76	$13.76	$55.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $52.98 / $88.78	Facility		$48.16	$52.98	$88.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $30.96 / $30.96	Professional		$12.38	$30.96	$30.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $48.16	Facility		$12.49	$12.49	$48.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $17.79	Professional		$13.76	$13.76	$17.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $27.52 / $33.97	Professional		$8.65	$27.52	$33.97