Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $39.49 / $67.76	Facility		$20.70	$39.49	$67.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $19.36 / $22.16	Professional		$4.75	$19.36	$22.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $15.98	Facility		$15.98	$15.98	$15.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.61 / $8.26	Professional		$3.81	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $23.12	Professional		$5.78	$5.78	$23.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $22.25 / $33.36	Facility		$20.23	$22.25	$33.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $13.01 / $45.00	Professional		$5.20	$13.01	$45.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $20.23	Facility		$4.69	$4.69	$20.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.78 / $7.48	Professional		$5.20	$5.78	$7.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $11.56 / $17.44	Professional		$3.25	$11.56	$17.44