Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Facility		$87.10	$87.10	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Professional		$79.43	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $147.91	Facility		$87.10	$97.72	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Professional		$79.43	$97.72	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $138.04	Facility		$79.43	$97.72	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Professional		$69.18	$69.18	$79.43