Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $81.37 / $86.75	Professional		$59.40	$81.37	$86.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $30.34 / $30.34	Facility		$30.34	$30.34	$30.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $191.18 / $301.86	Professional		$90.35	$191.18	$301.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $30.34 / $81.37	Facility		$30.34	$30.34	$81.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $81.37 / $111.46	Professional		$59.40	$81.37	$111.46
United Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $100.40 / $251.00	Professional		$93.86	$100.40	$251.00