Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,348.96	Facility		$489.78	$489.78	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $22.91	Professional		$14.13	$15.14	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $1,348.96	Facility		$23.44	$33.88	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $20.89 / $60.26	Professional		$3.72	$20.89	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $33.88	Facility		$23.44	$23.44	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $60.26	Professional		$17.78	$20.89	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $58.88	Professional		$20.89	$31.62	$58.88