Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.70 / $52.48	Professional		$10.00	$25.70	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $37.15	Professional		$18.20	$18.20	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $54.95 / $66.07	Professional		$11.48	$54.95	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $112.20	Professional		$50.12	$64.57	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $60.26	Professional		$15.49	$22.39	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $54.95	Professional		$28.84	$36.31	$54.95