Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $28.14 / $99.47	Facility		$28.14	$28.14	$99.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $28.42 / $28.42	Professional		$14.53	$28.42	$28.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $40.64 / $40.64	Facility		$40.64	$40.64	$40.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $19.48	Professional		$13.63	$13.63	$19.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $40.64 / $40.64	Facility		$40.64	$40.64	$40.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $19.48 / $30.15	Professional		$13.63	$19.48	$30.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $26.25 / $189.92	Professional		$17.50	$26.25	$189.92