Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Professional		$130.13	$130.13	$130.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Professional		$130.13	$130.13	$130.13