Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $53.45 / $74.23	Professional		$51.34	$53.45	$74.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.97 / $105.71	Professional		$27.54	$44.97	$105.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $131.97 / $142.19	Professional		$67.78	$131.97	$142.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $74.90 / $172.80	Professional		$51.65	$74.90	$172.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.81 / $153.00	Professional		$42.00	$58.81	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $81.98 / $102.25	Professional		$19.60	$81.98	$102.25