Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.86 / $434.35 / $434.35	Facility		$122.86	$434.35	$434.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $124.10 / $124.10	Professional		$72.43	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $45.57 / $45.57	Facility		$45.57	$45.57	$45.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $85.03	Professional		$59.52	$59.52	$85.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $45.57 / $45.57	Facility		$45.57	$45.57	$45.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $59.52 / $85.03	Professional		$49.22	$59.52	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $24.33 / $48.66	Professional		$22.71	$24.33	$48.66