Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $77.62	Facility		$21.38	$46.77	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $5.37 / $6.76	Professional		$2.34	$5.37	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $21.38	Facility		$3.16	$3.16	$21.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.37 / $17.38	Professional		$3.98	$4.37	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $16.98 / $20.89	Facility		$4.37	$16.98	$20.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $9.77	Professional		$6.61	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.98 / $4.37	Professional		$2.34	$3.98	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $8.71 / $13.18	Professional		$2.04	$8.71	$13.18