Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $153.38 / $153.38	Professional		$153.38	$153.38	$153.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $58.02 / $58.02	Facility		$58.02	$58.02	$58.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $209.52 / $268.58	Professional		$170.10	$209.52	$268.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $58.02 / $116.53	Facility		$58.02	$58.02	$116.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $163.57 / $228.62	Professional		$85.07	$163.57	$228.62
United Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $171.20 / $223.31	Professional		$86.53	$171.20	$223.31