Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $851.14	Facility		$223.87	$223.87	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,513.56	Facility		$398.11	$1,148.15	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,202.26 / $1,621.81	Facility		$346.74	$1,202.26	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76