Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $111.46 / $111.46	Professional		$111.46	$111.46	$111.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $73.83	Professional		$52.33	$71.68	$73.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $30.21 / $30.21	Facility		$30.21	$30.21	$30.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $123.60 / $195.17	Professional		$109.70	$123.60	$195.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $30.21 / $71.68	Facility		$30.21	$30.21	$71.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $73.83 / $119.04	Professional		$52.33	$73.83	$119.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $64.91 / $162.27	Professional		$62.89	$64.91	$162.27