Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $97.99 / $158.26	Professional		$17.54	$97.99	$158.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $79.53 / $140.72	Professional		$49.23	$79.53	$140.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $91.23 / $183.30	Professional		$43.23	$91.23	$183.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $108.00 / $176.83	Professional		$66.25	$108.00	$176.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $105.30 / $173.55	Professional		$43.23	$105.30	$173.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $149.00 / $187.31	Professional		$83.34	$149.00	$187.31