Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $173.53 / $173.53	Professional		$173.53	$173.53	$173.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Professional		$39.43	$39.43	$39.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $27.84 / $27.84	Facility		$27.84	$27.84	$27.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $192.44 / $303.86	Professional		$100.84	$192.44	$303.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $27.84 / $54.02	Facility		$27.84	$27.84	$54.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $78.70 / $124.39	Professional		$39.43	$78.70	$124.39
United Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $101.06 / $252.65	Professional		$97.91	$101.06	$252.65