Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $25.70 / $2,884.03	Professional		$8.91	$25.70	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $27.54 / $52.48	Facility		$26.30	$27.54	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $25.70 / $2,884.03	Professional		$8.91	$25.70	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $27.54 / $75.86	Facility		$26.30	$27.54	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Professional		$50.12	$50.12	$79.43