Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $275.42 / $2,398.83	Facility		$61.66	$275.42	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $26.30 / $57.54	Professional		$2.40	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.15 / $79.43	Facility		$0.11	$0.15	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.25 / $26.30	Professional		$0.11	$0.25	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.72 / $1.12	Facility		$0.18	$0.72	$1.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.62 / $0.62	Professional		$0.52	$0.62	$0.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.20 / $2.51	Facility		$0.11	$0.20	$2.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.21	Professional		$0.11	$0.11	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.17 / $0.33	Professional		$0.11	$0.17	$0.33