Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $49.90 / $143.36	Facility		$4.90	$49.90	$143.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $24.46 / $24.46	Professional		$6.73	$24.46	$24.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $20.19 / $20.19	Facility		$20.19	$20.19	$20.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $8.67 / $10.84	Professional		$5.26	$8.67	$10.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Facility		$6.62	$6.62	$6.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $29.20	Professional		$7.30	$7.30	$29.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $28.11 / $47.12	Facility		$25.55	$28.11	$47.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $16.43 / $118.75	Professional		$6.57	$16.43	$118.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $25.55	Facility		$6.62	$6.62	$25.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $10.55	Professional		$7.30	$7.30	$10.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $14.60 / $22.03	Professional		$4.59	$14.60	$22.03