Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $188.85 / $188.85	Professional		$188.85	$188.85	$188.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $187.18	Professional		$128.16	$175.58	$187.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.88 / $243.68 / $323.49	Professional		$204.88	$243.68	$323.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $175.58	Facility		$67.15	$67.15	$175.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $187.18 / $246.17	Professional		$128.16	$187.18	$246.17
United Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $107.59 / $206.22	Professional		$104.23	$107.59	$206.22