Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $48.98 / $91.20	Facility		$11.75	$48.98	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.09	Professional		$1.00	$1.00	$3.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $79.43	Facility		$1.82	$1.82	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $5.89	Professional		$1.82	$1.82	$5.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.50 / $8.71	Facility		$2.69	$5.50	$8.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $4.79	Facility		$3.39	$3.39	$4.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.95 / $60.26	Professional		$1.55	$1.95	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.69 / $251.19	Professional		$1.82	$2.69	$251.19