Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $165.96	Professional		$100.00	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $575.44	Facility		$165.96	$234.42	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $165.96	Professional		$60.26	$100.00	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $234.42	Facility		$165.96	$165.96	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $144.54	Professional		$60.26	$100.00	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $338.84	Professional		$123.03	$181.97	$338.84