Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.90 / $52.80	Professional		$10.00	$25.90	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $37.47	Professional		$18.32	$18.32	$37.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $60.15 / $64.56	Professional		$22.33	$60.15	$64.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.09 / $113.46	Professional		$50.00	$65.09	$113.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $60.00 / $132.53	Professional		$18.32	$60.00	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $36.64 / $55.28	Professional		$28.66	$36.64	$55.28