Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $118.68 / $118.68	Professional		$118.68	$118.68	$118.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $169.71 / $169.71	Facility		$169.71	$169.71	$169.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $193.52 / $276.45	Professional		$193.52	$193.52	$276.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $169.71 / $169.71	Facility		$169.71	$169.71	$169.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $276.45	Professional		$136.94	$136.94	$276.45
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $125.27 / $168.46	Professional		$83.51	$125.27	$168.46