Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $30.20	Professional		$16.98	$22.91	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $44.67	Professional		$28.84	$35.48	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $70.79 / $109.65	Professional		$20.89	$70.79	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $117.49	Professional		$33.88	$66.07	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $72.44	Professional		$25.70	$54.95	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $162.18	Professional		$57.54	$74.13	$162.18