Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $74.70 / $111.65	Facility		$22.20	$74.70	$111.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.95 / $17.76	Professional		$6.17	$6.95	$17.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.78 / $7.23	Professional		$3.81	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $4.61	Facility		$4.61	$4.61	$4.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $21.20	Professional		$5.30	$5.30	$21.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $11.93 / $50.00	Professional		$4.76	$11.93	$50.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $4.61	Facility		$4.61	$4.61	$4.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.85	Professional		$5.30	$5.30	$6.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $10.60 / $15.99	Professional		$3.33	$10.60	$15.99