Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $309.03	Facility		$223.87	$263.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $208.93	Professional		$97.72	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $831.76	Professional		$147.91	$309.03	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $354.81	Facility		$123.03	$208.93	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $501.19	Professional		$123.03	$281.84	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $354.81	Facility		$138.04	$208.93	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $371.54	Professional		$79.43	$147.91	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.04 / $380.19	Professional		$100.00	$257.04	$380.19