Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $37.61 / $138.59	Professional		$19.85	$37.61	$138.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.33 / $12.43 / $18.80	Professional	52	$8.33	$12.43	$18.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $43.68 / $56.78	Professional		$26.78	$43.68	$56.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $74.25 / $475.00	Professional		$25.14	$74.25	$475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $34.68 / $475.00	Professional		$18.05	$34.68	$475.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $57.78 / $104.50	Professional		$38.42	$57.78	$104.50