Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $64.57	Professional		$23.99	$30.20	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $77.62	Professional		$23.44	$37.15	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $138.04	Professional		$50.12	$69.18	$138.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $144.54	Professional		$61.66	$102.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $77.62	Professional		$25.70	$46.77	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $63.10 / $95.50	Professional		$24.55	$63.10	$95.50