Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.60 / $174.60 / $250.15	Facility		$174.60	$174.60	$250.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $250.15 / $330.19	Professional		$81.37	$250.15	$330.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $86.88 / $86.88	Facility		$86.88	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $159.66	Professional		$63.42	$86.88	$159.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $43.64 / $43.64	Facility		$43.64	$43.64	$43.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $277.41 / $438.02	Professional		$128.72	$277.41	$438.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $43.64 / $86.88	Facility		$43.64	$43.64	$86.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $92.62 / $159.66	Professional		$63.42	$92.62	$159.66
United Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $279.20 / $364.19	Professional		$141.13	$279.20	$364.19