Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $170.21 / $170.21	Professional		$170.21	$170.21	$170.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $128.59	Professional		$88.05	$120.62	$128.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $57.30	Facility		$57.30	$57.30	$57.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $184.66 / $291.57	Professional		$184.66	$184.66	$291.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $120.62	Facility		$57.30	$57.30	$120.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $128.59 / $191.66	Professional		$88.05	$128.59	$191.66
United Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $96.97 / $185.86	Professional		$93.95	$96.97	$185.86