Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Professional		$171.15	$171.15	$171.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $160.02	Professional		$109.58	$150.11	$160.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $68.50	Facility		$68.50	$68.50	$68.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $269.39 / $299.69	Professional		$189.80	$269.39	$299.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $150.11	Facility		$68.50	$68.50	$150.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $234.13	Professional		$109.58	$150.11	$234.13
United Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $191.05 / $249.20	Professional		$96.57	$191.05	$249.20