Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $93.10 / $208.98	Facility		$20.58	$93.10	$208.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $52.80 / $93.10	Professional		$14.50	$52.80	$93.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $43.52 / $43.52	Facility		$43.52	$43.52	$43.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.17 / $22.72	Professional		$11.62	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Facility		$13.74	$13.74	$13.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $63.04	Professional		$15.76	$15.76	$63.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $60.68 / $101.67	Facility		$55.16	$60.68	$101.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $35.46 / $250.00	Professional		$14.18	$35.46	$250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $13.74 / $55.16	Facility		$13.74	$13.74	$55.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $22.78	Professional		$15.76	$15.76	$22.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $31.52 / $47.55	Professional		$9.91	$31.52	$47.55