Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Professional		$81.28	$81.28	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $89.13 / $223.87	Professional		$10.47	$89.13	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.42 / $25.70	Facility		$10.47	$20.42	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $229.09	Professional		$74.13	$81.28	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $29.51 / $190.55	Facility		$17.78	$29.51	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $75.86 / $89.13	Professional		$15.49	$75.86	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $91.20	Facility		$9.12	$9.12	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $134.90	Professional		$7.08	$7.08	$134.90