Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $152.99 / $152.99	Professional		$152.99	$152.99	$152.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $138.33	Facility		$138.33	$138.33	$138.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $100.98	Professional		$100.98	$100.98	$100.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.67 / $198.49 / $267.89	Professional		$169.67	$198.49	$267.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $138.33	Facility		$62.10	$62.10	$138.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $154.94 / $244.85	Professional		$100.98	$154.94	$244.85
United Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $170.76 / $222.74	Professional		$87.33	$170.76	$222.74