Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.55 / $262.93 / $410.83	Facility		$145.55	$262.93	$410.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $26.98 / $117.38	Professional		$24.41	$26.98	$117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Facility		$2.59	$2.59	$2.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $24.71 / $86.37	Professional		$12.16	$24.71	$86.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $117.38 / $340.40	Facility		$25.01	$117.38	$340.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $45.13	Professional		$31.59	$31.59	$45.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $117.38 / $167.85	Facility		$2.59	$117.38	$167.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $32.54 / $86.37	Professional		$24.71	$32.54	$86.37
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $75.86 / $114.44	Professional		$14.31	$75.86	$114.44