Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $161.30	Professional		$114.54	$114.54	$161.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $26.43 / $31.44	Professional	26	$26.43	$26.43	$31.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $104.21 / $135.76	Professional		$61.40	$104.21	$135.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $24.72 / $27.29	Professional	26	$12.27	$24.72	$27.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $118.38 / $247.83	Professional		$95.10	$118.38	$247.83
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $23.40 / $68.45	Professional	26	$19.39	$23.40	$68.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $164.70 / $245.85	Professional		$132.50	$164.70	$245.85
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $32.40 / $49.17	Professional	26	$27.50	$32.40	$49.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $132.50 / $239.93	Professional		$52.85	$132.50	$239.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $33.00 / $52.21	Professional	26	$23.00	$33.00	$52.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $101.39 / $232.58	Professional		$39.70	$101.39	$232.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $21.84 / $54.90	Professional	26	$12.60	$21.84	$54.90