Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.63 / $275.63 / $275.63	Facility		$275.63	$275.63	$275.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $160.88 / $212.37	Professional		$160.88	$160.88	$212.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Facility		$107.42	$107.42	$107.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $114.51	Professional		$78.42	$107.42	$114.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Facility		$55.36	$55.36	$55.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $178.43 / $281.73	Professional		$178.43	$178.43	$281.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $107.42	Facility		$55.36	$55.36	$107.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $114.51 / $185.13	Professional		$78.42	$114.51	$185.13
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $91.26 / $91.26	Facility		$85.00	$91.26	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $179.60 / $234.26	Professional		$90.78	$179.60	$234.26