Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.68 / $256.50 / $341.60	Facility		$190.68	$256.50	$341.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $152.55 / $201.36	Professional		$87.73	$152.55	$201.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $96.73 / $96.73	Facility		$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $202.56	Professional		$70.61	$96.73	$202.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $47.05	Facility		$47.05	$47.05	$47.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $169.18 / $267.12	Professional		$154.38	$169.18	$267.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $96.73	Facility		$47.05	$47.05	$96.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $103.12 / $202.56	Professional		$70.61	$103.12	$202.56
United Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $170.27 / $222.09	Professional		$86.06	$170.27	$222.09