Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $28.18	Facility		$19.95	$19.95	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $60.26	Professional		$19.95	$19.95	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Facility		$19.95	$19.95	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $60.26	Professional		$30.20	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29