Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $34.93 / $51.07	Professional		$34.32	$34.93	$51.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.16 / $17.47 / $25.54	Professional	52	$17.16	$17.47	$25.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $28.56 / $68.95	Professional		$18.07	$28.56	$68.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $88.32 / $94.98	Professional		$45.27	$88.32	$94.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $47.60 / $117.45	Professional		$34.08	$47.60	$117.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $39.60 / $100.50	Professional		$28.80	$39.60	$100.50
United Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $53.74 / $66.01	Professional		$20.64	$53.74	$66.01