Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $30.80 / $244.57	Professional		$24.87	$30.80	$244.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $43.81 / $49.43	Professional		$43.81	$43.81	$49.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $42.69 / $45.82	Professional		$22.33	$42.69	$45.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $62.10 / $341.25	Professional		$55.00	$62.10	$341.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $58.75 / $121.38	Professional		$22.33	$58.75	$121.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $39.54 / $59.65	Professional		$35.54	$39.54	$59.65