Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $26.84	Professional		$26.84	$26.84	$26.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $28.43	Professional		$20.14	$27.60	$28.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Facility		$13.16	$13.16	$13.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $26.60 / $38.00	Professional		$26.60	$26.60	$38.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $27.60	Facility		$13.16	$13.16	$27.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $28.43	Professional		$20.14	$27.60	$28.43
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $20.94 / $48.42	Professional		$19.37	$20.94	$48.42