Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.23 / $681.23 / $681.23	Facility		$681.23	$681.23	$681.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $188.25	Professional		$125.50	$125.50	$188.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $269.20 / $269.20	Facility		$269.20	$269.20	$269.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $74.15 / $105.93	Professional		$74.15	$74.15	$105.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $269.20 / $269.20	Facility		$269.20	$269.20	$269.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $105.93 / $137.94	Professional		$74.15	$105.93	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $150.19	Professional		$147.65	$147.65	$150.19