Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $239.11	Facility		$223.87	$223.87	$239.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $103.58 / $136.72	Professional		$62.39	$103.58	$136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $71.64	Professional		$49.06	$67.20	$71.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $33.46 / $33.46	Facility		$33.46	$33.46	$33.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $113.88 / $179.81	Professional		$31.17	$113.88	$179.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $33.46 / $67.20	Facility		$33.46	$33.46	$67.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $70.76 / $100.97	Professional		$49.06	$70.76	$100.97
United Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $129.59 / $169.04	Professional		$65.50	$129.59	$169.04