Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.38 / $57.19	Professional		$14.40	$19.38	$57.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $84.66 / $116.06	Professional		$27.73	$84.66	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $78.20 / $96.72	Professional		$42.56	$78.20	$96.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $35.00 / $62.64	Professional		$24.00	$35.00	$62.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $62.64 / $114.34	Professional		$25.79	$62.64	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $76.30 / $106.82	Professional		$76.30	$76.30	$106.82