Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $141.46 / $141.46	Professional		$141.46	$141.46	$141.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $127.99	Professional		$87.64	$120.06	$127.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $54.63 / $54.63	Facility		$54.63	$54.63	$54.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $185.51 / $247.71	Professional		$156.88	$185.51	$247.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $54.63 / $120.06	Facility		$54.63	$54.63	$120.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $127.99 / $193.52	Professional		$87.64	$127.99	$193.52
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $82.39 / $205.97	Professional		$79.81	$82.39	$205.97