Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $391.20 / $619.02	Facility		$150.34	$391.20	$619.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $120.28 / $158.76	Professional		$59.18	$120.28	$158.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Facility		$67.14	$67.14	$67.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $71.56	Professional		$49.01	$67.14	$71.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $31.74 / $31.74	Facility		$31.74	$31.74	$31.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $132.66 / $209.48	Professional		$58.44	$132.66	$209.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $31.74 / $67.14	Facility		$31.74	$31.74	$67.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $70.41 / $93.42	Professional		$49.01	$70.41	$93.42
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $173.04 / $254.57	Professional		$98.65	$173.04	$254.57