Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $154.58 / $280.25	Professional		$143.19	$154.58	$280.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $99.93 / $185.67	Professional		$51.02	$99.93	$185.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $82.47 / $178.56	Professional		$68.73	$82.47	$178.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $127.50 / $259.50	Professional		$69.23	$127.50	$259.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $129.00 / $256.50	Professional		$57.52	$129.00	$256.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $148.54 / $224.09	Professional		$64.98	$148.54	$224.09