Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $102.96 / $102.96	Professional		$102.96	$102.96	$102.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $68.78	Professional		$47.10	$64.52	$68.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $33.26	Facility		$33.26	$33.26	$33.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $115.33 / $180.29	Professional		$114.18	$115.33	$180.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $64.52	Facility		$33.26	$33.26	$64.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $68.78 / $131.05	Professional		$47.10	$68.78	$131.05
United Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $114.92 / $149.90	Professional		$58.09	$114.92	$149.90