Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $173.25 / $173.25	Professional		$173.25	$173.25	$173.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $110.15	Professional		$75.42	$103.32	$110.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Facility		$42.49	$42.49	$42.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $192.14 / $303.38	Professional		$125.34	$192.14	$303.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $103.32	Facility		$42.49	$42.49	$103.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $154.61	Professional		$75.42	$103.32	$154.61
United Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $193.38 / $252.24	Professional		$97.75	$193.38	$252.24