Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $99.57 / $118.30	Professional		$52.26	$99.57	$118.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $31.96	Professional		$27.38	$27.38	$31.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $72.73 / $141.75	Professional		$60.72	$72.73	$141.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $97.50 / $148.22	Professional		$30.65	$97.50	$148.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $97.50 / $142.44	Professional		$27.38	$97.50	$142.44
United Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $110.01	Professional		$110.01	$110.01	$110.01