Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $55.89 / $81.13	Professional		$54.74	$55.89	$81.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.37 / $27.95 / $40.57	Professional	52	$27.37	$27.95	$40.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $45.39 / $109.91	Professional		$28.93	$45.39	$109.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $140.69 / $151.62	Professional		$75.81	$140.69	$151.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $75.59 / $186.30	Professional		$54.85	$75.59	$186.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $63.25 / $162.00	Professional		$45.48	$63.25	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $86.56 / $105.99	Professional		$33.21	$86.56	$105.99