Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $87.82 / $87.82	Professional		$87.82	$87.82	$87.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $72.45	Professional		$49.61	$67.95	$72.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $153.78	Professional		$97.39	$97.39	$153.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $67.95	Facility		$30.22	$30.22	$67.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $72.45 / $101.07	Professional		$49.61	$72.45	$101.07
United Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $51.14 / $127.86	Professional		$49.55	$51.14	$127.86