Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $42.48 / $42.48	Professional		$38.17	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $27.26 / $27.26	Professional		$27.26	$27.26	$27.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $63.62 / $131.25	Professional		$63.62	$63.62	$131.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $93.75 / $137.25	Professional		$41.96	$93.75	$137.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $90.00 / $170.20	Professional		$27.26	$90.00	$170.20
United Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $98.61	Professional		$98.61	$98.61	$98.61