Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.67 / $276.67 / $276.67	Professional		$276.67	$276.67	$276.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $113.24	Professional		$77.54	$106.22	$113.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $42.73 / $42.73	Facility		$42.73	$42.73	$42.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $306.82 / $484.46	Professional		$126.05	$306.82	$484.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $42.73 / $106.22	Facility		$42.73	$42.73	$106.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $155.47	Professional		$77.54	$106.22	$155.47
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $75.06 / $75.06	Facility		$65.59	$75.06	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $308.83 / $402.83	Professional		$156.10	$308.83	$402.83