Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Professional		$110.57	$110.57	$110.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $58.13	Professional		$39.81	$54.54	$58.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $24.54 / $24.54	Facility		$24.54	$24.54	$24.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $122.61 / $193.59	Professional		$72.40	$122.61	$193.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $24.54 / $54.54	Facility		$24.54	$24.54	$54.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.52 / $89.30	Professional		$39.81	$56.52	$89.30
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $123.43 / $161.00	Professional		$62.39	$123.43	$161.00