Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $158.69 / $466.20	Facility		$57.50	$158.69	$466.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $46.00 / $52.64	Professional		$12.65	$46.00	$52.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $12.45 / $12.45	Facility		$12.45	$12.45	$12.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $54.92	Professional		$13.73	$13.73	$54.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $52.86 / $88.59	Facility		$48.06	$52.86	$88.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $30.89 / $190.00	Professional		$12.36	$30.89	$190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $12.45 / $48.06	Facility		$12.45	$12.45	$48.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $17.76	Professional		$13.73	$13.73	$17.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $27.46 / $41.43	Professional		$8.63	$27.46	$41.43