Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.19 / $217.19 / $767.83	Facility		$217.19	$217.19	$767.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $219.38 / $219.38	Professional		$134.88	$219.38	$219.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $313.70 / $313.70	Facility		$313.70	$313.70	$313.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $109.39 / $156.28	Professional		$109.39	$109.39	$156.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $313.70 / $313.70	Facility		$313.70	$313.70	$313.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $137.80 / $156.28	Professional		$109.39	$137.80	$156.28
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $499.44 / $671.65	Professional		$332.96	$499.44	$671.65