Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $118.81 / $118.81	Facility		$56.40	$118.81	$118.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $169.27 / $223.43	Professional		$40.14	$169.27	$223.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $86.64	Facility		$86.64	$86.64	$86.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $92.36	Professional		$63.25	$86.64	$92.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $40.15	Facility		$40.15	$40.15	$40.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $187.72 / $296.39	Professional		$123.11	$187.72	$296.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $86.64	Facility		$40.15	$40.15	$86.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $92.36 / $151.86	Professional		$63.25	$92.36	$151.86
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $188.95 / $246.45	Professional		$95.50	$188.95	$246.45