Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $105.98 / $259.31	Facility		$7.84	$105.98	$259.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $50.35 / $57.63	Professional		$13.82	$50.35	$57.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $41.52 / $41.52	Facility		$41.52	$41.52	$41.52
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 $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $60.12	Professional		$15.03	$15.03	$60.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $57.87 / $96.98	Facility		$52.61	$57.87	$96.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $33.82 / $197.50	Professional		$13.53	$33.82	$197.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $52.61	Facility		$13.11	$13.11	$52.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $19.44 / $21.73	Professional		$15.03	$19.44	$21.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $30.06 / $45.35	Professional		$9.44	$30.06	$45.35