Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $223.87	Facility		$158.49	$190.55	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $199.53	Professional		$64.57	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $537.03	Professional		$102.33	$199.53	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $257.04	Facility		$97.72	$144.54	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $354.81	Professional		$95.50	$204.17	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $257.04	Facility		$102.33	$147.91	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $245.47	Professional		$69.18	$97.72	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $263.03	Professional		$72.44	$181.97	$263.03