Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $161.52 / $274.50	Facility		$69.79	$161.52	$274.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $56.28 / $64.41	Professional		$15.42	$56.28	$64.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $46.41 / $46.41	Facility		$46.41	$46.41	$46.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Facility		$15.23	$15.23	$15.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $67.20	Professional		$16.80	$16.80	$67.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $64.68 / $108.40	Facility		$58.80	$64.68	$108.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $37.79 / $261.50	Professional		$15.12	$37.79	$261.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $15.23 / $58.80	Facility		$15.23	$15.23	$58.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $24.28	Professional		$16.80	$16.80	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $33.60 / $50.69	Professional		$10.56	$33.60	$50.69