Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $16.22	Facility		$14.13	$16.22	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $28.84	Professional		$14.13	$14.13	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $28.18	Facility		$14.79	$15.49	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $23.99	Professional		$14.13	$14.13	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $24.55	Facility		$14.79	$14.79	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $79.43	Professional		$0.05	$0.05	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $8.91	Facility		$4.47	$4.47	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.62 / $9.33	Professional		$5.25	$5.62	$9.33