Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $22.91	Facility		$16.98	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $47.86	Professional		$16.98	$21.88	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $52.48	Professional		$16.98	$16.98	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $28.84	Facility		$17.78	$17.78	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $79.43	Professional		$15.85	$15.85	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33