Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $426.58	Facility		$309.03	$363.08	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $269.15	Professional		$128.82	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,202.26	Professional		$204.17	$446.68	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $489.78	Facility		$169.82	$281.84	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $691.83	Professional		$162.18	$398.11	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Facility		$199.53	$288.40	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $537.03	Professional		$79.43	$204.17	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $354.81 / $524.81	Professional		$138.04	$354.81	$524.81