Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $74.47 / $74.47	Professional		$32.90	$74.47	$74.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $58.98 / $58.98	Professional		$58.98	$58.98	$58.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $66.69	Professional		$22.23	$22.23	$66.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $20.01 / $50.02	Professional		$20.01	$20.01	$50.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $58.98 / $58.98	Professional		$58.98	$58.98	$58.98
United Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.69 / $66.69	Professional		$66.69	$66.69	$66.69