Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $301.02 / $681.35	Facility		$136.36	$301.02	$681.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $24.11 / $104.89	Professional		$21.84	$24.11	$104.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Facility		$2.34	$2.34	$2.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $22.39 / $77.28	Professional		$10.89	$22.39	$77.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $104.89 / $304.18	Facility		$22.37	$104.89	$304.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $28.26 / $40.38	Professional		$28.26	$28.26	$40.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $104.89 / $149.99	Facility		$2.34	$104.89	$149.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $28.26 / $40.38	Professional		$10.89	$28.26	$40.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $67.78 / $81.64	Professional		$22.85	$67.78	$81.64