Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $206.24 / $206.24	Professional		$206.24	$206.24	$206.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $172.31	Professional		$117.99	$161.63	$172.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $83.31 / $83.31	Facility		$83.31	$83.31	$83.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.74 / $245.75 / $353.28	Professional		$223.74	$245.75	$353.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $83.31 / $161.63	Facility		$83.31	$83.31	$161.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $276.00	Professional		$117.99	$161.63	$276.00
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $194.44 / $194.44	Facility		$170.54	$194.44	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $117.50 / $225.20	Professional		$117.50	$117.50	$225.20