Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $47.42 / $167.65	Facility		$47.42	$47.42	$167.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $47.90 / $47.90	Professional		$29.45	$47.90	$47.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $68.50	Facility		$68.50	$68.50	$68.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $68.50	Facility		$68.50	$68.50	$68.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $45.12 / $60.68	Professional		$30.08	$45.12	$60.68