Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $202.25 / $453.60	Facility		$199.63	$202.25	$453.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $159.71 / $167.69	Professional		$102.50	$159.71	$167.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $106.63	Facility		$106.63	$106.63	$106.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $113.67	Professional		$77.84	$106.63	$113.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $54.96 / $54.96	Facility		$54.96	$54.96	$54.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $177.11 / $279.64	Professional		$177.11	$177.11	$279.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $54.96 / $106.63	Facility		$54.96	$54.96	$106.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $113.67 / $183.81	Professional		$77.84	$113.67	$183.81
United Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $178.27 / $232.53	Professional		$90.11	$178.27	$232.53