Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $70.26	Professional		$48.11	$65.90	$70.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $151.34 / $238.95	Professional		$83.59	$151.34	$238.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $65.90	Facility		$28.34	$28.34	$65.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $103.12	Professional		$48.11	$65.90	$103.12
United Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $152.33 / $198.69	Professional		$77.00	$152.33	$198.69