Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $77.59 / $218.74	Facility		$4.95	$77.59	$218.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.67 / $18.21	Professional		$6.04	$11.67	$18.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Facility		$14.32	$14.32	$14.32
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 $4.51 / $4.51 / $98.46	Facility		$4.51	$4.51	$98.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $20.72	Professional		$5.18	$5.18	$20.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $19.94 / $33.36	Facility		$18.13	$19.94	$33.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $11.66 / $87.50	Professional		$4.66	$11.66	$87.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $18.13	Facility		$4.51	$4.51	$18.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $7.48	Professional		$5.18	$5.18	$7.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $10.36 / $15.63	Professional		$3.25	$10.36	$15.63