Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $155.37 / $211.88	Professional		$141.25	$155.37	$211.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.99 / $302.99 / $302.99	Facility		$302.99	$302.99	$302.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.99 / $302.99 / $302.99	Facility		$302.99	$302.99	$302.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $161.69	Professional		$158.96	$158.96	$161.69