Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Professional		$173.93	$173.93	$173.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $82.86	Professional		$58.73	$80.45	$82.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.47 / $41.47	Facility		$41.47	$41.47	$41.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $192.89 / $304.56	Professional		$122.32	$192.89	$304.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.47 / $80.45	Facility		$41.47	$41.47	$80.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $150.88	Professional		$58.73	$80.45	$150.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $194.14 / $253.23	Professional		$98.13	$194.14	$253.23