Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $93.52 / $93.52	Professional		$93.52	$93.52	$93.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $71.12	Professional		$48.71	$66.72	$71.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $32.18 / $32.18	Facility		$32.18	$32.18	$32.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $163.76	Professional		$103.71	$103.71	$163.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $32.18 / $66.72	Facility		$32.18	$32.18	$66.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $71.12 / $107.68	Professional		$48.71	$71.12	$107.68
United Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $104.39 / $136.16	Professional		$52.76	$104.39	$136.16