Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $163.13 / $163.13	Professional		$163.13	$163.13	$163.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $96.02	Professional		$65.75	$90.07	$96.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Facility		$46.42	$46.42	$46.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $176.99 / $279.45	Professional		$136.93	$176.99	$279.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $46.42 / $90.07	Facility		$46.42	$46.42	$90.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $168.91	Professional		$65.75	$90.07	$168.91
United Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $92.94 / $178.14	Professional		$90.04	$92.94	$178.14