Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $214.08 / $214.08	Professional		$214.08	$214.08	$214.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $232.26 / $366.72	Professional		$195.81	$232.26	$366.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $126.98	Facility		$62.01	$62.01	$126.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $152.87 / $241.55	Professional		$92.70	$152.87	$241.55
United Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $121.97 / $233.77	Professional		$121.97	$121.97	$233.77