Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.27 / $53.27 / $53.27	Facility	26	$53.27	$53.27	$53.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $81.18 / $163.51	Professional		$58.31	$81.18	$163.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $207.01 / $269.74	Professional		$178.10	$207.01	$269.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $232.89 / $309.61	Professional		$190.19	$232.89	$309.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $300.00 / $439.20	Professional		$121.50	$300.00	$439.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $211.03 / $420.80	Professional		$107.88	$211.03	$420.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $215.80 / $431.60	Professional		$213.94	$215.80	$431.60