Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $35.44 / $35.44	Professional		$21.79	$35.44	$35.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $50.68 / $50.68	Facility		$50.68	$50.68	$50.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $210.81 / $301.14	Professional		$210.81	$210.81	$301.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $50.68 / $50.68	Facility		$50.68	$50.68	$50.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $301.14	Professional		$174.33	$174.33	$301.14
United Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $153.49 / $767.43	Professional		$152.96	$153.49	$767.43