Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $89.95 / $89.95	Professional		$89.95	$89.95	$89.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Professional		$21.64	$21.64	$21.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Facility		$14.41	$14.41	$14.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $99.75 / $157.50	Professional		$52.61	$99.75	$157.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $29.64	Facility		$14.41	$14.41	$29.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $41.08 / $64.90	Professional		$21.64	$41.08	$64.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $100.41 / $130.97	Professional		$50.75	$100.41	$130.97