Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $195.30 / $19,648.97	Facility		$29.28	$195.30	$19,648.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $32.97 / $55.76	Professional		$29.98	$32.97	$55.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Professional		$29.98	$29.98	$29.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $55.76 / $78.06	Facility		$30.28	$55.76	$78.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $59.96	Professional		$29.98	$29.98	$59.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $47.18 / $74.14	Facility		$43.49	$47.18	$74.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $40.44 / $40.44	Professional		$33.70	$40.44	$40.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $55.76 / $78.06	Facility		$29.98	$55.76	$78.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $33.38 / $38.90	Professional		$29.98	$33.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $44.97 / $89.94	Professional		$31.78	$44.97	$89.94