Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $25.56 / $83.82	Professional		$16.57	$25.56	$83.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.35 / $41.02	Professional		$30.35	$30.35	$41.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $34.92 / $37.47	Professional		$18.05	$34.92	$37.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $49.95 / $186.38	Professional		$45.00	$49.95	$186.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $47.50 / $92.82	Professional		$18.05	$47.50	$92.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $32.82 / $49.51	Professional		$25.47	$32.82	$49.51