Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $325.38	Professional		$216.91	$216.92	$325.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.29 / $465.29 / $465.29	Facility		$465.29	$465.29	$465.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $118.70 / $169.58	Professional		$118.70	$118.70	$169.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.29 / $465.29 / $465.29	Facility		$465.29	$465.29	$465.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $169.58 / $238.19	Professional		$118.70	$169.58	$238.19
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $219.05 / $255.20	Professional		$219.05	$219.05	$255.20