Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $25.12	Facility		$19.05	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $32.36	Facility		$19.50	$19.50	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $28.18	Facility		$19.50	$19.50	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $79.43	Professional		$17.38	$17.38	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95