Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $161.44 / $169.51	Professional		$161.44	$161.44	$169.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $120.88	Professional		$85.67	$117.36	$120.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $48.61	Facility		$48.61	$48.61	$48.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $179.04 / $282.69	Professional		$151.08	$179.04	$282.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $117.36	Facility		$48.61	$48.61	$117.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.95 / $180.19	Professional		$85.67	$117.95	$180.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $180.21 / $235.05	Professional		$91.09	$180.21	$235.05