Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $66.07 / $66.07	Facility		$63.10	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $169.82	Professional		$63.10	$77.62	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $95.50	Facility		$64.57	$64.57	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $154.88	Professional		$64.57	$77.62	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $186.21	Facility		$66.07	$95.50	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $79.43	Professional		$70.79	$72.44	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $79.43	Professional		$72.44	$77.62	$79.43