Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Facility		$11.61	$11.61	$11.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.15	Professional		$0.14	$0.15	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.99	Professional		$0.30	$0.30	$0.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.21	Facility		$0.15	$0.15	$0.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.61 / $3,495.87	Facility		$0.53	$0.61	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.42 / $0.46	Professional		$0.32	$0.42	$0.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.17 / $0.74	Facility		$0.15	$0.17	$0.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.30 / $0.55	Professional		$0.16	$0.30	$0.55