Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $190.55	Professional		$117.49	$120.23	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $676.08	Facility		$190.55	$275.42	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $190.55	Professional		$60.26	$112.20	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $275.42	Facility		$190.55	$190.55	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $147.91	Professional		$60.26	$60.26	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92