Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $88.39 / $312.48	Facility		$53.92	$88.39	$312.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $52.77 / $89.23	Professional		$47.61	$52.77	$89.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $89.23 / $127.60	Facility		$48.45	$89.23	$127.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $95.94	Professional		$47.97	$47.97	$95.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $77.00 / $121.00	Facility		$73.09	$77.00	$121.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $66.00 / $66.00	Professional		$55.00	$66.00	$66.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $89.23 / $127.60	Facility		$47.97	$89.23	$127.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $58.08 / $66.00	Professional		$47.97	$58.08	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $71.95 / $121.63	Professional		$47.97	$71.95	$121.63