Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Professional		$92.46	$92.46	$92.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $92.99	Professional		$65.90	$90.28	$92.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $44.95 / $44.95	Facility		$44.95	$44.95	$44.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $107.93 / $161.90	Professional		$102.53	$107.93	$161.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $44.95 / $90.28	Facility		$44.95	$44.95	$90.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $132.83	Professional		$65.90	$90.28	$132.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $103.20 / $134.61	Professional		$53.84	$103.20	$134.61