Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $21.05 / $37.40	Professional		$20.57	$21.05	$37.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $57.90	Professional		$41.20	$41.20	$57.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $55.32 / $59.38	Professional		$25.18	$55.32	$59.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $75.59 / $114.46	Professional		$66.25	$75.59	$114.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $70.00 / $123.39	Professional		$25.18	$70.00	$123.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $46.32 / $69.88	Professional		$25.47	$46.32	$69.88