Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $66.07	Professional		$39.81	$48.98	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $66.07	Professional		$38.90	$47.86	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $60.26	Professional		$25.70	$25.70	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $35.48	Facility		$0.07	$0.07	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $213.80	Professional		$70.79	$107.15	$213.80