Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $38.28 / $93.19	Facility		$21.19	$38.28	$93.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $17.09 / $17.09	Professional		$4.69	$17.09	$17.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Facility		$14.11	$14.11	$14.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.78 / $7.23	Professional		$3.81	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $4.61	Facility		$4.61	$4.61	$4.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $20.39	Professional		$5.09	$5.09	$20.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $17.85 / $20.39	Facility		$12.76	$17.85	$20.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $11.48 / $107.50	Professional		$4.59	$11.48	$107.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $14.11	Facility		$4.61	$4.61	$14.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.71 / $6.39	Professional		$5.09	$5.71	$6.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $10.19 / $15.39	Professional		$3.20	$10.19	$15.39