Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.85 / $31.72	Professional		$12.80	$15.85	$31.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $84.63 / $116.06	Professional		$17.72	$84.63	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $40.85 / $52.06	Professional		$22.21	$40.85	$52.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $36.29 / $66.00	Professional		$28.05	$36.29	$66.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $41.77 / $111.17	Professional		$19.23	$41.77	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $45.52 / $68.28	Professional		$22.82	$45.52	$68.28