Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.99 / $97.18	Professional		$32.36	$37.99	$97.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $90.12 / $115.21	Professional		$51.96	$90.12	$115.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $99.96 / $207.68	Professional		$83.30	$99.96	$207.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $139.05 / $216.80	Professional		$123.75	$139.05	$216.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $118.80 / $216.80	Professional		$46.07	$118.80	$216.80
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $85.62 / $185.90	Professional		$53.06	$85.62	$185.90