Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $175.50	Facility		$75.81	$75.81	$175.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $229.26 / $281.98	Professional		$147.11	$229.26	$281.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $206.12 / $219.65	Professional		$135.00	$206.12	$219.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $78.89 / $78.89	Facility		$78.89	$78.89	$78.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $254.24 / $401.43	Professional		$254.24	$254.24	$401.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $78.89 / $135.00	Facility		$78.89	$78.89	$135.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $206.30 / $244.22	Professional		$135.00	$206.30	$244.22
United Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $216.67 / $333.78	Professional		$129.35	$216.67	$333.78