Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Professional		$187.10	$187.10	$187.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $120.47	Professional		$82.49	$113.00	$120.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $202.99 / $320.51	Professional		$167.11	$202.99	$320.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $113.00	Facility		$56.56	$56.56	$113.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $120.47 / $206.14	Professional		$82.49	$120.47	$206.14
United Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $106.59 / $204.30	Professional		$103.27	$106.59	$204.30