Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	26	$85.51	$85.51	$85.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $82.35 / $166.07	Professional		$59.82	$82.35	$166.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $200.79 / $253.71	Professional		$184.49	$200.79	$253.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $232.89 / $319.52	Professional		$194.08	$232.89	$319.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $300.00 / $432.90	Professional		$113.85	$300.00	$432.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $206.86 / $371.00	Professional		$101.46	$206.86	$371.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $202.98 / $405.96	Professional		$193.64	$202.98	$405.96