Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $171.71 / $171.71	Professional		$171.71	$171.71	$171.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $129.86	Professional		$88.93	$121.82	$129.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $56.83 / $56.83	Facility		$56.83	$56.83	$56.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $190.43 / $300.68	Professional		$167.63	$190.43	$300.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $56.83 / $121.82	Facility		$56.83	$56.83	$121.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $129.86 / $191.11	Professional		$88.93	$129.86	$191.11
United Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $191.67 / $250.01	Professional		$96.88	$191.67	$250.01