Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $14.26 / $29.34	Professional		$12.40	$14.26	$29.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.43 / $83.76	Professional		$11.25	$17.43	$83.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $33.88 / $42.06	Professional		$17.10	$33.88	$42.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $44.40 / $70.20	Professional		$19.80	$44.40	$70.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $34.20 / $68.08	Professional		$16.20	$34.20	$68.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $32.52 / $58.82	Professional		$14.31	$32.52	$58.82