Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $84.57 / $84.57	Professional		$28.80	$84.57	$84.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $61.25	Professional		$43.41	$59.47	$61.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $25.75 / $25.75	Facility		$25.75	$25.75	$25.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $84.41 / $133.28	Professional		$84.41	$84.41	$133.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $77.80 / $86.77	Facility		$77.80	$77.80	$86.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $86.77 / $178.90	Professional		$70.29	$86.77	$178.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $25.75 / $73.87	Facility		$25.75	$25.75	$73.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $71.56 / $109.94	Professional		$59.47	$71.56	$109.94
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $84.95 / $155.13	Professional		$44.32	$84.95	$155.13