Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.57 / $203.57 / $503.20	Facility		$203.57	$203.57	$503.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $162.86 / $214.97	Professional		$60.49	$162.86	$214.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $68.22	Facility		$68.22	$68.22	$68.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $72.72	Professional		$49.80	$68.22	$72.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Facility		$32.44	$32.44	$32.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $180.61 / $285.18	Professional		$105.35	$180.61	$285.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $32.44 / $68.22	Facility		$32.44	$32.44	$68.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $72.72 / $127.80	Professional		$49.80	$72.72	$127.80
United Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $181.79 / $237.12	Professional		$91.89	$181.79	$237.12