Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $100.00	Professional		$19.95	$30.90	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $69.18	Professional		$25.70	$38.02	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $144.54	Professional		$38.90	$91.20	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $128.82	Professional		$52.48	$69.18	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $85.11	Professional		$34.67	$54.95	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $131.83	Professional		$32.36	$87.10	$131.83