Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $104.27 / $104.27	Professional		$104.27	$104.27	$104.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $41.75	Professional		$28.59	$39.15	$41.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.25 / $17.25	Facility		$17.25	$17.25	$17.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $115.62 / $182.57	Professional		$67.84	$115.62	$182.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.25 / $39.15	Facility		$17.25	$17.25	$39.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $67.97	Professional		$28.59	$39.15	$67.97
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $116.39 / $151.82	Professional		$58.83	$116.39	$151.82