Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $267.70 / $267.70	Professional		$267.70	$267.70	$267.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $95.57	Professional		$65.44	$89.65	$95.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $44.64 / $44.64	Facility		$44.64	$44.64	$44.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $296.88 / $468.75	Professional		$175.55	$296.88	$468.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $44.64 / $89.65	Facility		$44.64	$44.64	$89.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $175.89	Professional		$65.44	$89.65	$175.89
United Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $298.82 / $389.76	Professional		$151.04	$298.82	$389.76