Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $200.71 / $709.59	Facility		$200.71	$200.71	$709.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $202.74 / $202.74	Professional		$124.65	$202.74	$202.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.92 / $289.92 / $289.92	Facility		$289.92	$289.92	$289.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $60.85 / $86.93	Professional		$60.85	$60.85	$86.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.92 / $289.92 / $289.92	Facility		$289.92	$289.92	$289.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $187.73 / $252.45	Professional		$125.15	$187.73	$252.45