Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.89 / $34.89 / $34.89	Facility	26	$34.89	$34.89	$34.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $72.26 / $152.93	Professional		$54.40	$72.26	$152.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $90.64 / $160.44	Professional		$50.62	$90.64	$160.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $153.33 / $247.10	Professional		$83.14	$153.33	$247.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $196.25 / $314.00	Professional		$90.72	$196.25	$314.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $149.40 / $307.10	Professional		$64.68	$149.40	$307.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $134.88 / $304.86	Professional		$53.67	$134.88	$304.86