Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $20.41 / $48.28	Professional		$17.51	$20.41	$48.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $76.44	Professional		$57.22	$57.22	$76.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $62.10 / $96.11	Professional		$51.75	$62.10	$96.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $85.05 / $117.12	Professional		$32.00	$85.05	$117.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $52.29 / $94.50	Professional		$25.34	$52.29	$94.50
United Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $61.16 / $122.32	Professional		$54.99	$61.16	$122.32