Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Professional		$130.60	$130.60	$130.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $68.89	Professional		$47.17	$64.62	$68.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $28.11 / $28.11	Facility		$28.11	$28.11	$28.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $144.83 / $228.68	Professional		$82.93	$144.83	$228.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $28.11 / $64.62	Facility		$28.11	$28.11	$64.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.73 / $102.29	Professional		$47.17	$64.73	$102.29
United Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $145.79 / $190.16	Professional		$73.69	$145.79	$190.16