Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $222.86 / $222.86	Professional		$222.86	$222.86	$222.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $130.38	Professional		$89.29	$122.31	$130.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $63.04	Facility		$63.04	$63.04	$63.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $241.78 / $381.75	Professional		$185.94	$241.78	$381.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $122.31	Facility		$63.04	$63.04	$122.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $130.38 / $229.38	Professional		$89.29	$130.38	$229.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $126.97 / $243.36	Professional		$123.01	$126.97	$243.36