Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $95.06 / $95.06	Facility		$95.06	$95.06	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $91.24 / $120.43	Professional		$54.02	$91.24	$120.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $61.83	Professional		$42.34	$58.00	$61.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Facility		$28.97	$28.97	$28.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $104.76 / $159.78	Professional		$101.19	$104.76	$159.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $58.00	Facility		$28.97	$28.97	$58.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $61.83 / $104.96	Professional		$42.34	$61.83	$104.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $101.84 / $132.84	Professional		$51.48	$101.84	$132.84