Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $102.90 / $102.90	Professional		$102.90	$102.90	$102.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $71.13	Professional		$48.71	$66.72	$71.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $128.76 / $180.18	Professional		$114.11	$128.76	$180.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $66.72	Facility		$32.76	$32.76	$66.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $71.13 / $129.01	Professional		$48.71	$71.13	$129.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $114.86 / $149.82	Professional		$58.06	$114.86	$149.82