Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $524.81	Professional		$446.68	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Facility		$58.88	$58.88	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $2,691,534.80	Facility		$58.88	$81.28	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $524.81	Professional		$79.43	$446.68	$524.81