Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $19.72 / $34.84	Professional		$16.46	$19.72	$34.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.23 / $9.86 / $17.42	Professional	52	$8.23	$9.86	$17.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $15.72 / $56.28	Professional		$11.96	$15.72	$56.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $43.68 / $58.53	Professional		$27.90	$43.68	$58.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $30.80 / $60.75	Professional		$20.57	$30.80	$60.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $30.36 / $67.50	Professional		$18.00	$30.36	$67.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $39.28 / $43.64	Professional		$14.75	$39.28	$43.64