Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $57.68	Professional		$39.50	$54.11	$57.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Facility		$24.56	$24.56	$24.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $108.00 / $170.52	Professional		$96.58	$108.00	$170.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $24.56 / $54.11	Facility		$24.56	$24.56	$54.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $96.76	Professional		$39.50	$54.11	$96.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $108.71 / $141.80	Professional		$54.95	$108.71	$141.80