Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $155.65 / $155.65	Professional		$155.65	$155.65	$155.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $78.09	Professional		$55.35	$75.81	$78.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $37.34	Facility		$37.34	$37.34	$37.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $172.62 / $272.55	Professional		$110.14	$172.62	$272.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $75.81	Facility		$37.34	$37.34	$75.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $78.09 / $135.88	Professional		$55.35	$78.09	$135.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $90.65 / $226.62	Professional		$87.82	$90.65	$226.62