Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $180.64 / $180.64	Professional		$180.64	$180.64	$180.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $113.46	Professional		$80.42	$110.16	$113.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $56.78 / $56.78	Facility		$56.78	$56.78	$56.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $200.33 / $316.31	Professional		$167.48	$200.33	$316.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $56.78 / $110.16	Facility		$56.78	$56.78	$110.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $206.59	Professional		$80.42	$110.16	$206.59
United Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $201.64 / $263.01	Professional		$101.92	$201.64	$263.01