Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $186.21	Facility		$53.70	$97.72	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.63	Professional		$2.00	$2.00	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.51 / $8.13	Facility		$2.09	$2.51	$8.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $7.08	Professional		$2.09	$2.63	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $6.92 / $10.96	Facility		$2.95	$6.92	$10.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $5.89	Professional		$4.90	$5.89	$5.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.24 / $5.37	Facility		$2.09	$3.24	$5.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $5.01	Professional		$2.19	$2.19	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.16 / $6.31	Professional		$2.09	$3.16	$6.31