Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $122.36 / $122.36	Professional		$122.36	$122.36	$122.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $87.10	Professional		$59.64	$81.70	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $135.69 / $214.25	Professional		$135.69	$135.69	$214.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $81.70	Facility		$42.11	$42.11	$81.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $87.10 / $140.88	Professional		$59.64	$87.10	$140.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $115.64 / $178.14	Professional		$69.03	$115.64	$178.14