Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.27 / $224.27 / $224.27	Professional		$224.27	$224.27	$224.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $145.19	Professional		$99.43	$136.19	$145.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $64.95	Facility		$64.95	$64.95	$64.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $248.72 / $392.72	Professional		$198.28	$248.72	$392.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $136.19	Facility		$64.95	$64.95	$136.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $145.19 / $244.60	Professional		$99.43	$145.19	$244.60
United Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $250.34 / $326.54	Professional		$126.54	$250.34	$326.54