Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $158.04 / $158.04	Professional		$158.04	$158.04	$158.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $147.24	Professional		$104.35	$142.94	$147.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $64.42 / $64.42	Facility		$64.42	$64.42	$64.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $244.54 / $276.74	Professional		$175.27	$244.54	$276.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $64.42 / $142.94	Facility		$64.42	$64.42	$142.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $147.24 / $245.01	Professional		$104.35	$147.24	$245.01
United Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $176.41 / $230.10	Professional		$90.60	$176.41	$230.10