Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $218.73 / $218.73	Professional		$134.47	$218.73	$218.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $312.77 / $312.77	Facility		$312.77	$312.77	$312.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $32.29	Professional		$22.61	$22.61	$32.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $312.77 / $312.77	Facility		$312.77	$312.77	$312.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $32.29 / $137.72	Professional		$22.61	$32.29	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $230.88 / $310.49	Professional		$153.91	$230.88	$310.49