Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $99.44 / $168.95	Facility		$29.40	$99.44	$168.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $48.27 / $55.25	Professional		$13.26	$48.27	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.93 / $21.17	Professional		$10.53	$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 $14.41 / $14.41 / $57.64	Professional		$14.41	$14.41	$57.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $55.48 / $92.95	Facility		$50.44	$55.48	$92.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $32.42 / $32.42	Professional		$12.97	$32.42	$32.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $13.07 / $50.44	Facility		$13.07	$13.07	$50.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.41 / $20.83	Professional		$14.41	$14.41	$20.83
United Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $28.82 / $35.58	Professional		$9.06	$28.82	$35.58