Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.26 / $483.26 / $483.26	Facility		$483.26	$483.26	$483.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $882.48 / $884.84	Professional		$483.26	$882.48	$884.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $121.19	Professional		$84.85	$84.85	$121.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $176.54 / $1,209.00	Facility		$132.66	$176.54	$1,209.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $139.29 / $176.54	Professional		$132.66	$139.29	$176.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $176.54 / $1,243.42	Facility		$106.13	$176.54	$1,243.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $154.58 / $172.40	Professional		$84.85	$154.58	$172.40
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $74.86 / $831.11	Professional		$71.52	$74.86	$831.11