Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $210.13 / $210.13	Professional		$210.13	$210.13	$210.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.95 / $115.31	Professional		$81.72	$111.95	$115.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $233.04 / $367.95	Professional		$193.33	$233.04	$367.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $111.95	Facility		$57.70	$57.70	$111.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $115.31 / $227.37	Professional		$81.72	$115.31	$227.37
United Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $234.55 / $305.94	Professional		$118.56	$234.55	$305.94