Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $194.98	Facility		$151.36	$194.98	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $194.98	Professional		$60.26	$151.36	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $194.98	Facility		$151.36	$194.98	$194.98
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