Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Professional		$27.78	$27.78	$27.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $39.72 / $39.72	Facility		$39.72	$39.72	$39.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $38.06 / $39.72	Facility		$38.06	$38.06	$39.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96