Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $167.87 / $167.87	Professional		$167.87	$167.87	$167.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $50.25	Professional		$50.25	$50.25	$50.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $182.12 / $287.55	Professional		$120.89	$182.12	$287.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $68.84	Facility		$35.47	$35.47	$68.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $94.38 / $149.12	Professional		$50.25	$94.38	$149.12
United Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $95.64 / $183.31	Professional		$92.66	$95.64	$183.31