Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $183.81 / $183.81	Professional		$183.81	$183.81	$183.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $64.55	Professional		$44.20	$60.55	$64.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $203.84 / $321.86	Professional		$85.93	$203.84	$321.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $60.55	Facility		$28.52	$28.52	$60.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $64.55 / $106.00	Professional		$44.20	$64.55	$106.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $160.56 / $267.60	Professional		$77.00	$160.56	$267.60