Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $224.82	Professional		$159.34	$218.27	$224.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $108.67 / $108.67	Facility		$108.67	$108.67	$108.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $157.52 / $347.30	Professional		$99.76	$157.52	$347.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $108.67 / $128.63	Facility		$108.67	$108.67	$128.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $347.96	Professional		$159.34	$218.27	$347.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $100.42 / $152.84	Professional		$52.39	$100.42	$152.84