Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.82 / $33.29	Professional		$13.35	$16.82	$33.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $22.61	Professional		$12.80	$12.80	$22.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $36.59 / $45.21	Professional		$22.80	$36.59	$45.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $52.80 / $79.20	Professional		$25.03	$52.80	$79.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $38.40 / $84.00	Professional		$13.50	$38.40	$84.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $42.76 / $64.51	Professional		$19.32	$42.76	$64.51