Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $102.86 / $102.86	Professional		$53.28	$102.86	$102.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $52.23	Professional		$35.76	$48.99	$52.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $114.07 / $180.11	Professional		$76.64	$114.07	$180.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $48.99	Facility		$19.48	$19.48	$48.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $52.23 / $76.78	Professional		$35.76	$52.23	$76.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $114.82 / $149.76	Professional		$58.04	$114.82	$149.76