Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $75.55 / $166.32	Facility		$30.38	$75.55	$166.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $48.21 / $60.26	Professional		$13.25	$48.21	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $39.74 / $39.74	Facility		$39.74	$39.74	$39.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Facility		$13.05	$13.05	$13.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $57.56	Professional		$14.39	$14.39	$57.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $55.40 / $92.81	Facility		$50.37	$55.40	$92.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $32.38 / $206.25	Professional		$12.95	$32.38	$206.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $50.37	Facility		$13.05	$13.05	$50.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $18.60	Professional		$14.39	$14.39	$18.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $28.78 / $43.42	Professional		$9.05	$28.78	$43.42