Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $229.03 / $229.03	Professional		$229.03	$229.03	$229.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.50 / $124.20	Professional		$85.05	$116.50	$124.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $254.00 / $401.06	Professional		$217.35	$254.00	$401.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $116.51	Facility		$60.05	$60.05	$116.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $124.20 / $268.12	Professional		$85.05	$124.20	$268.12
United Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $105.48 / $105.48	Facility		$92.18	$105.48	$105.48
United Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $255.66 / $333.47	Professional		$129.22	$255.66	$333.47