Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $82.77 / $82.77	Facility		$82.77	$82.77	$82.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $209.45 / $209.45	Professional		$209.45	$209.45	$209.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $70.59	Professional		$48.34	$66.22	$70.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Facility		$32.61	$32.61	$32.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $227.23 / $358.79	Professional		$119.49	$227.23	$358.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $66.22	Facility		$32.61	$32.61	$66.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $70.59 / $128.49	Professional		$48.34	$70.59	$128.49
United Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $119.33 / $244.34	Professional		$115.61	$119.33	$244.34