Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.24 / $10.00	Facility		$4.90	$7.24	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.36 / $9.55	Facility		$0.02	$0.36	$9.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $60.26 / $60.26	Professional		$19.95	$60.26	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Facility		$0.03	$0.03	$0.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.52	Facility		$0.02	$0.03	$0.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.52	Professional		$0.02	$0.02	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05