Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $113.73 / $113.73	Professional		$113.73	$113.73	$113.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $101.53	Professional		$101.53	$101.53	$101.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $56.24 / $56.24	Facility		$56.24	$56.24	$56.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $112.72 / $161.03	Professional		$112.72	$112.72	$161.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $56.24 / $139.08	Facility		$56.24	$56.24	$139.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $161.03	Professional		$101.53	$101.53	$161.03
United Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $157.30 / $205.17	Professional		$82.07	$157.30	$205.17