Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.99 / $204.99 / $204.99	Professional		$204.99	$204.99	$204.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $142.55	Professional		$97.62	$133.72	$142.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Facility		$63.06	$63.06	$63.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $225.46 / $356.00	Professional		$59.12	$225.46	$356.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $133.72	Facility		$63.06	$63.06	$133.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $191.78	Professional		$97.62	$133.72	$191.78
United Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $264.86 / $345.47	Professional		$133.88	$264.86	$345.47