Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $85.73 / $85.73	Facility		$85.73	$85.73	$85.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $156.63 / $156.63	Professional		$85.90	$156.63	$156.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $115.38	Facility		$115.38	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $122.99	Professional		$84.23	$115.38	$122.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Facility		$46.07	$46.07	$46.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $173.70 / $274.26	Professional		$146.75	$173.70	$274.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $115.38	Facility		$46.07	$46.07	$115.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $170.68	Professional		$84.23	$115.38	$170.68
United Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $91.22 / $228.05	Professional		$88.37	$91.22	$228.05