Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $69.18 / $812.83	Facility		$15.49	$69.18	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $12.02	Professional		$2.00	$3.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.17 / $5.13	Professional		$2.69	$4.17	$5.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.63 / $100.00	Facility		$3.16	$3.63	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $14.79	Professional		$3.63	$3.63	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.13 / $23.44	Facility		$12.88	$14.13	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $18.20	Professional		$6.76	$8.32	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.63 / $4.79	Professional		$2.69	$3.63	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $7.41 / $10.96	Professional		$2.29	$7.41	$10.96