Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $202.53 / $202.53	Professional		$202.53	$202.53	$202.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $183.37 / $198.58	Professional		$135.22	$183.37	$198.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $224.60 / $354.63	Professional		$224.60	$224.60	$354.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $135.22	Facility		$69.70	$69.70	$135.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $183.37 / $215.21	Professional		$135.22	$183.37	$215.21
United Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $226.07 / $294.87	Professional		$114.27	$226.07	$294.87