Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $114.82	Professional		$70.79	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $398.11	Facility		$114.82	$162.18	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $114.82	Professional		$30.20	$60.26	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $162.18	Facility		$114.82	$114.82	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $60.26	Professional		$30.20	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $1,047.13	Professional		$70.79	$104.71	$1,047.13