Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $147.16 / $147.16	Professional		$147.16	$147.16	$147.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $94.99	Professional		$65.05	$89.11	$94.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $163.19 / $257.69	Professional		$133.47	$163.19	$257.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $89.11	Facility		$45.25	$45.25	$89.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $94.99 / $164.63	Professional		$65.05	$94.99	$164.63
United Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $100.55 / $214.25	Professional		$83.03	$100.55	$214.25