Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $125.37 / $125.37	Professional		$125.37	$125.37	$125.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $63.77	Professional		$43.67	$59.82	$63.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $136.01 / $214.76	Professional		$114.20	$136.01	$214.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $59.82	Facility		$29.04	$29.04	$59.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $63.77 / $114.42	Professional		$43.67	$63.77	$114.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $71.42 / $136.90	Professional		$69.20	$71.42	$136.90