Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $33.78 / $33.78	Professional		$33.78	$33.78	$33.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $33.78 / $47.29	Facility		$25.02	$33.78	$47.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $33.78 / $50.04	Facility		$25.02	$33.78	$50.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $27.52 / $37.53	Professional		$21.27	$27.52	$37.53
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $64.44	Professional		$32.22	$32.22	$64.44