Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $51.06 / $77.34	Professional		$44.91	$51.06	$77.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.03 / $103.61	Professional		$27.54	$42.03	$103.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $115.47 / $124.35	Professional		$59.27	$115.47	$124.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $70.00 / $159.30	Professional		$53.00	$70.00	$159.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $69.00 / $148.50	Professional		$38.86	$69.00	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $79.56 / $96.22	Professional		$30.30	$79.56	$96.22