Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.29 / $125.29 / $442.96	Facility		$125.29	$125.29	$442.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $126.56 / $126.56	Professional		$77.81	$126.56	$126.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $180.98 / $180.98	Facility		$180.98	$180.98	$180.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $73.15 / $104.50	Professional		$73.15	$73.15	$104.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $180.98 / $180.98	Facility		$180.98	$180.98	$180.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $136.04 / $182.94	Professional		$90.69	$136.04	$182.94