Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $407.70	Facility		$0.02	$0.03	$407.70
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 $9.09 / $9.09 / $11.36	Professional		$9.09	$9.09	$11.36
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 $7.64 / $92.50 / $115.58	Professional		$7.64	$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 $10.88 / $53.88 / $81.56	Professional		$10.88	$53.88	$81.56