Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $169.82	Professional		$85.11	$89.13	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $109.65	Facility		$81.28	$91.20	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $281.84	Professional		$60.26	$89.13	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $109.65	Facility		$81.28	$91.20	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95