Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $53.48 / $90.86	Facility		$11.47	$53.48	$90.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $25.96 / $29.71	Professional		$17.48	$25.96	$29.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $21.42 / $21.42	Facility		$21.42	$21.42	$21.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $9.09 / $11.36	Professional		$5.63	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $7.02 / $7.02	Facility		$7.02	$7.02	$7.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $31.00	Professional		$7.75	$7.75	$31.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $29.84 / $50.01	Facility		$27.13	$29.84	$50.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $17.44 / $17.44	Professional		$6.98	$17.44	$17.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $7.02 / $27.13	Facility		$7.02	$7.02	$27.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.02 / $11.20	Professional		$7.75	$10.02	$11.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $15.50 / $23.38	Professional		$4.87	$15.50	$23.38