Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $100.00	Professional		$54.95	$79.43	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $89.13	Professional		$56.23	$72.44	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $199.53	Professional		$69.18	$162.18	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $346.74	Professional		$234.42	$263.03	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $199.53	Professional		$48.98	$60.26	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $204.17	Professional		$39.81	$112.20	$204.17