Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $292.87 / $292.87	Professional		$292.87	$292.87	$292.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $147.91	Professional		$101.29	$138.76	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $317.74 / $501.69	Professional		$281.29	$317.74	$501.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $138.76	Facility		$71.52	$71.52	$138.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $281.82	Professional		$101.29	$138.76	$281.82
United Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $166.85 / $319.80	Professional		$166.85	$166.85	$319.80