Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $116.27 / $116.27	Professional		$116.27	$116.27	$116.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $66.95	Professional		$45.85	$62.81	$66.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $28.17	Facility		$28.17	$28.17	$28.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $128.94 / $203.60	Professional		$88.82	$128.94	$203.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $62.81	Facility		$28.17	$28.17	$62.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $66.95 / $109.56	Professional		$45.85	$66.95	$109.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $67.70 / $169.28	Professional		$65.59	$67.70	$169.28