Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $170.92 / $170.92	Professional		$161.85	$170.92	$170.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $130.02	Professional		$92.15	$126.23	$130.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $59.20	Facility		$59.20	$59.20	$59.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $210.67 / $299.30	Professional		$189.55	$210.67	$299.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $126.23	Facility		$59.20	$59.20	$126.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $130.02 / $233.26	Professional		$92.15	$130.02	$233.26
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $99.54 / $248.85	Professional		$96.43	$99.54	$248.85