Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $38.72 / $136.91	Facility		$38.72	$38.72	$136.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $39.11 / $39.11	Professional		$24.05	$39.11	$39.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $55.94 / $55.94	Facility		$55.94	$55.94	$55.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $55.94 / $55.94	Facility		$55.94	$55.94	$55.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63