Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $74.13	Professional		$33.11	$39.81	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $181.97	Professional		$79.43	$107.15	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $218.78	Professional		$89.13	$165.96	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $79.43	Professional		$33.11	$51.29	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $213.80	Professional		$41.69	$104.71	$213.80