Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $161.43 / $161.43	Professional		$161.43	$161.43	$161.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $114.90	Professional		$78.68	$107.78	$114.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Facility		$55.55	$55.55	$55.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $179.03 / $282.68	Professional		$179.03	$179.03	$282.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $107.78	Facility		$55.55	$55.55	$107.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $114.90 / $185.80	Professional		$78.68	$114.90	$185.80
United Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $99.63 / $99.63	Facility		$85.28	$99.63	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $180.19 / $235.04	Professional		$91.08	$180.19	$235.04