Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $112.64 / $112.64	Professional		$112.64	$112.64	$112.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $39.83	Professional		$27.27	$37.36	$39.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $18.60	Facility		$18.60	$18.60	$18.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $122.20 / $192.95	Professional		$73.18	$122.20	$192.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $37.36	Facility		$18.60	$18.60	$37.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $73.31	Professional		$27.27	$37.36	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $64.18 / $123.00	Professional		$62.18	$64.18	$123.00