Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $121.11 / $121.11	Professional		$121.11	$121.11	$121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $58.20	Professional		$41.25	$56.50	$58.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $120.03 / $171.48	Professional		$120.03	$120.03	$171.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $120.03	Professional		$41.25	$56.50	$120.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $167.51 / $218.49	Professional		$87.40	$167.51	$218.49