Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.35 / $12.79	Professional		$4.99	$6.35	$12.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $5.65 / $9.99	Professional		$5.65	$5.65	$9.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.38 / $19.80	Professional		$9.27	$15.38	$19.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $24.00 / $35.10	Professional		$12.25	$24.00	$35.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $19.20 / $44.40	Professional		$6.16	$19.20	$44.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $19.04 / $32.36	Professional		$12.66	$19.04	$32.36