Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.89 / $50.12	Facility		$19.95	$20.89	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $60.26	Professional		$19.95	$19.95	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $50.12	Facility		$19.95	$23.99	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $60.26	Professional		$28.84	$28.84	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30