Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $254.53 / $397.71	Facility		$140.90	$254.53	$397.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $26.12 / $113.63	Professional		$23.64	$26.12	$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 / $23.94 / $83.65	Professional		$11.62	$23.94	$83.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $113.63 / $329.53	Facility		$24.22	$113.63	$329.53
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 $2.50 / $113.63 / $162.49	Facility		$2.50	$113.63	$162.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $30.26 / $43.23	Professional		$11.62	$30.26	$43.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $73.44 / $86.99	Professional		$13.85	$73.44	$86.99