Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $29.02 / $43.27	Professional		$21.44	$29.02	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $69.78 / $116.06	Professional		$25.53	$69.78	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $71.28 / $111.61	Professional		$34.90	$71.28	$111.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $88.75 / $139.08	Professional		$40.29	$88.75	$139.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $71.78 / $133.19	Professional		$29.94	$71.78	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $60.14 / $132.57	Professional		$25.81	$60.14	$132.57