Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $78.40 / $208.98	Facility		$25.22	$78.40	$208.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $19.73 / $50.22	Professional		$17.51	$19.73	$50.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Facility		$41.40	$41.40	$41.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $16.93 / $21.17	Professional		$11.07	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $13.07 / $13.07	Facility		$13.07	$13.07	$13.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $59.96	Professional		$14.99	$14.99	$59.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $57.71 / $96.70	Facility		$52.47	$57.71	$96.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.72 / $258.75	Professional		$13.49	$33.72	$258.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $13.07 / $52.47	Facility		$13.07	$13.07	$52.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $19.38	Professional		$14.99	$14.99	$19.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $29.98 / $45.23	Professional		$9.43	$29.98	$45.23