Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $62.48 / $135.19	Facility		$34.02	$62.48	$135.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $98.80 / $130.41	Professional		$43.63	$98.80	$130.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $61.78 / $87.38	Professional		$33.36	$61.78	$87.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $21.28	Facility		$21.28	$21.28	$21.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $109.56 / $173.00	Professional		$83.66	$109.56	$173.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $45.70	Facility		$21.28	$21.28	$45.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $65.31 / $103.20	Professional		$33.36	$65.31	$103.20
United Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $57.54 / $143.85	Professional		$55.74	$57.54	$143.85