Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $28.84	Facility		$12.02	$14.45	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.13	Professional		$10.96	$12.02	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.85	Professional		$14.45	$14.45	$15.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $25.70	Facility		$17.38	$19.95	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $19.95	Professional		$10.96	$15.49	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $28.84	Facility		$12.02	$17.38	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $79.43	Professional		$14.45	$14.45	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45