Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $64.15 / $226.80	Facility		$64.15	$64.15	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $64.80 / $64.80	Professional		$39.84	$64.80	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $92.66 / $92.66	Facility		$92.66	$92.66	$92.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $13.78	Professional		$9.64	$9.64	$13.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $92.66 / $92.66	Facility		$92.66	$92.66	$92.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.78 / $42.40	Professional		$9.64	$13.78	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $100.86	Professional		$50.00	$75.00	$100.86