Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $91.20	Professional		$43.65	$54.95	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $151.36	Professional		$42.66	$67.61	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $204.17	Professional		$74.13	$123.03	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $281.84	Professional		$104.71	$190.55	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $151.36	Professional		$48.98	$67.61	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $169.82	Professional		$46.77	$128.82	$169.82