Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Professional		$96.08	$96.08	$96.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $40.76	Professional		$40.76	$40.76	$40.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $21.33 / $21.33	Facility		$21.33	$21.33	$21.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $106.55 / $168.24	Professional		$62.94	$106.55	$168.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $21.33 / $55.83	Facility		$21.33	$21.33	$55.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $49.14 / $84.08	Professional		$40.76	$49.14	$84.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $107.24 / $139.88	Professional		$54.20	$107.24	$139.88