Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $147.16 / $147.16	Professional		$147.16	$147.16	$147.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $136.62	Professional		$96.83	$132.63	$136.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $163.19 / $257.69	Professional		$143.93	$163.19	$257.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $132.63	Facility		$48.80	$48.80	$132.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $177.55	Professional		$96.83	$132.63	$177.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $164.25 / $214.25	Professional		$83.03	$164.25	$214.25