Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $99.19 / $138.80	Facility		$48.38	$99.19	$138.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $41.57 / $51.96	Professional		$11.39	$41.57	$51.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Facility		$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.04 / $17.55	Professional		$9.08	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $49.64	Professional		$12.41	$12.41	$49.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $47.78 / $80.06	Facility		$43.44	$47.78	$80.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $27.92 / $190.00	Professional		$11.17	$27.92	$190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $43.44	Facility		$11.25	$11.25	$43.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $16.05	Professional		$12.41	$12.41	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $24.82 / $37.44	Professional		$7.80	$24.82	$37.44