Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.16 / $284.16 / $1,286.83	Facility		$284.16	$284.16	$1,286.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $162.69 / $162.69	Professional		$162.69	$162.69	$162.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $95.00 / $134.37	Professional		$94.64	$95.00	$134.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $55.99 / $55.99	Facility		$55.99	$55.99	$55.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $180.43 / $284.89	Professional		$180.43	$180.43	$284.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $55.99 / $129.63	Facility		$55.99	$55.99	$129.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $134.37 / $222.58	Professional		$94.64	$134.37	$222.58
United Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $107.43 / $236.88	Professional		$91.79	$107.43	$236.88