Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $95.04 / $246.60	Facility		$37.32	$95.04	$246.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $48.74 / $48.74	Professional		$13.39	$48.74	$48.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $40.21 / $40.21	Facility		$40.21	$40.21	$40.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $58.20	Professional		$14.55	$14.55	$58.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $56.02 / $93.85	Facility		$50.93	$56.02	$93.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $32.74 / $32.74	Professional		$13.10	$32.74	$32.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $50.93	Facility		$12.68	$12.68	$50.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $21.02	Professional		$14.55	$14.55	$21.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $29.10 / $35.92	Professional		$9.15	$29.10	$35.92