Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $354.46 / $4,996.80	Facility		$176.97	$354.46	$4,996.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $195.59 / $258.17	Professional		$125.54	$195.59	$258.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $180.80 / $195.80	Professional		$130.59	$180.80	$195.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Facility		$67.31	$67.31	$67.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $342.48	Professional		$216.90	$216.90	$342.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $130.59	Facility		$67.31	$67.31	$130.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $180.80 / $212.19	Professional		$130.59	$180.80	$212.19
United Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $218.33 / $284.77	Professional		$110.36	$218.33	$284.77