Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $89.88 / $228.34	Facility		$27.67	$89.88	$228.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $22.14 / $27.67	Professional		$6.08	$22.14	$27.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $18.28	Facility		$18.28	$18.28	$18.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.43 / $9.28	Professional		$4.90	$7.43	$9.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $26.44	Professional		$6.61	$6.61	$26.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $25.45 / $42.66	Facility		$23.14	$25.45	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $14.87 / $125.00	Professional		$5.95	$14.87	$125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $23.14	Facility		$5.75	$5.75	$23.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.62 / $9.55	Professional		$6.61	$6.62	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $13.22 / $16.32	Professional		$4.16	$13.22	$16.32