Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $64.51 / $128.06	Facility		$20.56	$64.51	$128.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $6.51 / $17.39	Professional		$5.78	$6.51	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Facility		$13.69	$13.69	$13.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.78 / $7.23	Professional		$3.63	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $4.48	Facility		$4.48	$4.48	$4.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $19.80	Professional		$4.95	$4.95	$19.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $11.14 / $117.25	Professional		$4.46	$11.14	$117.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $4.48	Facility		$4.48	$4.48	$4.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $6.39	Professional		$4.95	$4.95	$6.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $9.90 / $14.94	Professional		$3.11	$9.90	$14.94