Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $53.55 / $189.32	Facility		$53.55	$53.55	$189.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $54.09 / $54.09	Professional		$39.13	$54.09	$54.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $77.34 / $77.34	Facility		$77.34	$77.34	$77.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $25.94 / $37.04	Professional		$25.94	$25.94	$37.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $77.34 / $77.34	Facility		$77.34	$77.34	$77.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $70.70 / $95.09	Professional		$47.14	$70.70	$95.09