Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $163.63 / $198.40	Facility		$163.63	$163.63	$198.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $130.91 / $157.09	Professional		$66.64	$130.91	$157.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $94.72	Professional		$64.86	$88.85	$94.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $35.72	Facility		$35.72	$35.72	$35.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $145.16 / $229.22	Professional		$122.02	$145.16	$229.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $88.85	Facility		$35.72	$35.72	$88.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $94.72 / $139.59	Professional		$64.86	$94.72	$139.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $146.13 / $190.61	Professional		$73.87	$146.13	$190.61