Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $38.99 / $68.48	Professional		$28.03	$38.99	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $88.56 / $137.99	Professional		$36.22	$88.56	$137.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $97.85 / $127.21	Professional		$56.05	$97.85	$127.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $88.50 / $175.45	Professional		$46.41	$88.50	$175.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $88.50 / $177.00	Professional		$41.30	$88.50	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $110.40 / $138.94	Professional		$62.61	$110.40	$138.94