Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $52.80	Professional		$17.66	$17.66	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $147.12 / $156.78	Professional		$123.84	$147.12	$156.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Facility		$17.66	$17.66	$48.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Facility		$17.66	$17.66	$48.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $147.12 / $156.78	Professional		$123.84	$147.12	$156.78