Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.43 / $396.43 / $779.08	Facility		$396.43	$396.43	$779.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Professional		$108.85	$108.85	$108.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $155.66 / $426.34	Facility		$155.66	$155.66	$426.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $97.09 / $138.69	Professional		$97.09	$97.09	$138.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $155.66 / $155.66	Facility		$155.66	$155.66	$155.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $138.69	Professional		$80.29	$80.29	$138.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $70.69 / $353.46	Professional		$24.79	$70.69	$353.46