Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $254.53 / $843.70	Facility		$140.90	$254.53	$843.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $113.63 / $113.63	Professional		$18.85	$113.63	$113.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $26.85 / $33.56	Professional		$11.62	$26.85	$33.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $30.26 / $43.23	Professional		$30.26	$30.26	$43.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $43.23 / $2,400,000.00	Professional		$11.62	$43.23	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $73.44 / $110.79	Professional		$7.90	$73.44	$110.79