Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $87.10	Professional		$19.05	$28.84	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $66.07	Professional		$23.99	$34.67	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $144.54	Professional		$45.71	$87.10	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $120.23	Professional		$47.86	$64.57	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $79.43	Professional		$33.11	$50.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $87.10 / $123.03	Professional		$28.84	$87.10	$123.03