Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $24.47 / $21,589.20	Facility		$14.01	$24.47	$21,589.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.43 / $30.98	Professional		$12.99	$14.43	$30.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $34.56 / $34.56	Facility		$34.56	$34.56	$34.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $41.83	Professional		$12.99	$12.99	$41.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $26.17 / $41.12	Facility		$19.26	$26.17	$41.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $34.56 / $61.68	Facility		$19.44	$34.56	$61.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $14.10	Professional		$12.99	$12.99	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $19.48 / $26.20	Professional		$12.99	$19.48	$26.20