Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $241.30 / $241.30	Professional		$241.30	$241.30	$241.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $143.85	Professional		$101.95	$139.66	$143.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Facility		$67.63	$67.63	$67.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $267.60 / $422.52	Professional		$199.47	$267.60	$422.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $67.63 / $139.66	Facility		$67.63	$67.63	$139.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $246.06	Professional		$101.95	$139.66	$246.06
United Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $140.53 / $351.32	Professional		$136.13	$140.53	$351.32