Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $35.20 / $91.80	Facility		$15.51	$35.20	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.41 / $22.81	Professional		$10.55	$12.41	$22.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.12	Facility		$21.12	$21.12	$21.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $22.52	Professional		$15.42	$21.12	$22.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $6.11	Facility		$6.11	$6.11	$6.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $39.90 / $39.90	Professional		$12.30	$39.90	$39.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $17.37	Facility		$6.11	$6.11	$17.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $22.52	Professional		$15.42	$21.12	$22.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $9.67 / $9.67	Facility		$8.00	$9.67	$9.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.44 / $22.40	Professional		$8.96	$13.44	$22.40