Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $148.19 / $148.19	Professional		$148.19	$148.19	$148.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $37.77	Professional		$37.77	$37.77	$37.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $25.76 / $25.76	Facility		$25.76	$25.76	$25.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $160.78 / $253.86	Professional		$99.50	$160.78	$253.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $25.76 / $51.74	Facility		$25.76	$25.76	$51.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $77.69 / $122.75	Professional		$37.77	$77.69	$122.75
United Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $84.43 / $161.83	Professional		$81.79	$84.43	$161.83