Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $109.05 / $109.05	Professional		$109.05	$109.05	$109.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Professional		$85.60	$85.60	$85.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $36.50	Facility		$36.50	$36.50	$36.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $117.59 / $117.59	Professional		$117.59	$117.59	$117.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $100.70	Facility		$36.50	$36.50	$100.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $91.80 / $145.06	Professional		$85.60	$91.80	$145.06
United Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $75.38 / $144.47	Professional		$75.38	$75.38	$144.47