Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $118.39	Professional		$77.86	$77.86	$118.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $70.15 / $99.58	Professional		$41.18	$70.15	$99.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $79.56 / $162.63	Professional		$62.72	$79.56	$162.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $113.40 / $185.51	Professional		$102.50	$113.40	$185.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $100.80 / $185.51	Professional		$36.07	$100.80	$185.51
United Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $69.33 / $150.53	Professional		$44.04	$69.33	$150.53