Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $41.43 / $110.28	Professional		$23.57	$41.43	$110.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $67.31	Professional		$44.59	$44.59	$67.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $58.23 / $62.50	Professional		$28.98	$58.23	$62.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.35 / $206.25	Professional		$75.00	$82.35	$206.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $91.50 / $147.56	Professional		$28.98	$91.50	$147.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $53.86 / $81.25	Professional		$32.89	$53.86	$81.25