Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $442.98 / $752.64	Facility		$95.00	$442.98	$752.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $215.04 / $412.74	Professional		$215.04	$215.04	$412.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.31 / $177.31 / $177.31	Facility		$177.31	$177.31	$177.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $73.51 / $91.89	Professional		$29.04	$73.51	$91.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $32.10	Facility		$32.10	$32.10	$32.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $64.19 / $256.76	Professional		$64.19	$64.19	$256.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.64 / $237.50 / $256.76	Facility		$215.64	$237.50	$256.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $96.29 / $256.76	Professional		$57.77	$96.29	$256.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $215.64	Facility		$32.10	$32.10	$215.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $64.19 / $176.52	Professional		$51.17	$64.19	$176.52
United Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $128.38 / $193.67	Professional		$24.48	$128.38	$193.67