Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $76.40 / $76.40	Professional		$23.64	$76.40	$76.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $84.63 / $117.60	Professional		$34.77	$84.63	$117.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $104.60 / $127.57	Professional		$53.65	$104.60	$127.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $74.52 / $135.00	Professional		$50.50	$74.52	$135.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $75.14 / $118.46	Professional		$38.44	$75.14	$118.46
United Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $104.40 / $146.16	Professional		$98.81	$104.40	$146.16