Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $58.88 / $97.72	Facility		$3.47	$58.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.70 / $1.70	Professional		$1.55	$1.70	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $85.11	Facility		$0.52	$0.52	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $1.70	Professional		$0.52	$0.52	$1.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $2.63 / $4.17	Facility		$0.85	$2.63	$4.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.56	Professional		$0.56	$0.56	$0.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.41	Facility		$1.00	$1.00	$1.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $60.26	Professional		$0.54	$0.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.79 / $549.54	Professional		$0.52	$0.79	$549.54