Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Facility		$95.50	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $125.89	Professional		$95.50	$100.00	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $208.93	Facility		$97.72	$102.33	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Professional		$95.50	$95.50	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $151.36	Facility		$97.72	$102.33	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Professional		$63.10	$63.10	$79.43