Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $45.65 / $66.09	Professional		$45.29	$45.65	$66.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.65 / $22.83 / $33.04	Professional	52	$22.65	$22.83	$33.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $37.82 / $92.05	Professional		$24.48	$37.82	$92.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $116.46 / $125.40	Professional		$59.77	$116.46	$125.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $63.00 / $153.90	Professional		$45.80	$63.00	$153.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $52.27 / $133.50	Professional		$37.54	$52.27	$133.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $71.48 / $91.07	Professional		$19.60	$71.48	$91.07