Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $103.22 / $220.26	Facility		$58.90	$103.22	$220.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $47.50 / $59.37	Professional		$13.02	$47.50	$59.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $39.19 / $39.19	Facility		$39.19	$39.19	$39.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $16.52 / $20.65	Professional		$10.35	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $12.36	Facility		$12.36	$12.36	$12.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $56.72	Professional		$14.18	$14.18	$56.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $54.59 / $91.43	Facility		$49.63	$54.59	$91.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $31.91 / $163.75	Professional		$12.76	$31.91	$163.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $49.63	Facility		$12.36	$12.36	$49.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $18.32	Professional		$14.18	$14.18	$18.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $28.36 / $42.78	Professional		$8.91	$28.36	$42.78