Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $55.40 / $79.25	Professional		$53.23	$55.40	$79.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.62 / $27.70 / $39.63	Professional	52	$26.62	$27.70	$39.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $45.39 / $109.91	Professional		$29.21	$45.39	$109.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $136.83 / $147.41	Professional		$70.27	$136.83	$147.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $75.59 / $182.25	Professional		$54.32	$75.59	$182.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $62.70 / $160.50	Professional		$44.49	$62.70	$160.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $86.02 / $109.13	Professional		$22.12	$86.02	$109.13