Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $194.98 / $331.13	Facility		$39.81	$194.98	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $89.13	Professional		$20.89	$25.70	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $38.90	Professional		$12.59	$30.90	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $26.92	Facility		$19.50	$19.50	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $107.15	Professional		$26.92	$26.92	$107.15
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 / $60.26 / $60.26	Professional		$35.48	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.99 / $26.92	Professional		$12.59	$23.99	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $53.70 / $81.28	Professional		$10.72	$53.70	$81.28