Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $63.10 / $91.20	Professional		$15.85	$63.10	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $60.26 / $95.50	Professional		$28.84	$60.26	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $66.07 / $123.03	Professional		$26.92	$66.07	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $165.96	Professional		$30.20	$77.62	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $56.23 / $104.71	Professional		$26.92	$56.23	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $177.83	Professional		$38.90	$67.61	$177.83