Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $27.46 / $27.46	Professional		$27.46	$27.46	$27.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $27.46 / $38.44	Facility		$27.46	$27.46	$38.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $44.10 / $3,495.87	Facility		$40.60	$44.10	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $27.46 / $44.10	Facility		$27.46	$27.46	$44.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $20.34 / $21.19	Professional		$17.29	$20.34	$21.19