Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $137.83 / $137.83	Professional		$137.83	$137.83	$137.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $381.25 / $558.15	Professional		$158.90	$381.25	$558.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.50 / $505.50 / $623.45	Professional		$392.50	$505.50	$623.45
United Facility/Professional Professional Modifier Low / Median / High Price $447.97 / $447.97 / $447.97	Professional		$447.97	$447.97	$447.97