Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $263.51 / $263.51	Professional		$263.51	$263.51	$263.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $177.47	Professional		$121.52	$166.47	$177.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Facility		$68.09	$68.09	$68.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $285.87 / $451.38	Professional		$215.46	$285.87	$451.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $166.47	Facility		$68.09	$68.09	$166.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $168.20 / $265.77	Professional		$121.52	$168.20	$265.77
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $150.13 / $287.74	Professional		$145.44	$150.13	$287.74