Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $207.29	Facility		$0.02	$0.03	$207.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $20.65	Professional		$16.52	$16.52	$20.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $31.83	Professional		$22.28	$22.28	$31.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $92.50 / $115.58	Professional		$21.73	$92.50	$115.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $100.50 / $159.46	Professional		$25.39	$100.50	$159.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $54.06 / $81.56	Professional		$11.43	$54.06	$81.56