Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $72.44	Facility		$43.65	$43.65	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $63.10	Facility		$0.12	$0.12	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.39 / $0.39	Professional		$0.12	$0.39	$0.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.24 / $0.37	Facility		$0.05	$0.24	$0.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.31	Facility		$0.22	$0.22	$0.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $60.26	Professional		$0.02	$0.02	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.18 / $223.87	Professional		$0.12	$0.18	$223.87