Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $194.98 / $331.13	Facility		$40.74	$194.98	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $91.20	Professional		$21.88	$25.70	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $38.90	Professional		$12.59	$31.62	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $27.54	Facility		$19.95	$19.95	$27.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $109.65	Professional		$27.54	$27.54	$109.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $112.20	Facility		$93.33	$100.00	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $61.66	Professional		$35.48	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $27.54	Professional		$12.59	$24.55	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $54.95 / $83.18	Professional		$10.72	$54.95	$83.18