Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Professional		$112.67	$112.67	$112.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $107.80	Professional		$88.96	$104.66	$107.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $37.93 / $37.93	Facility		$37.93	$37.93	$37.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $122.24 / $193.01	Professional		$122.24	$122.24	$193.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $37.93 / $104.66	Facility		$37.93	$37.93	$104.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $107.80 / $150.78	Professional		$88.96	$107.80	$150.78
United Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $64.19 / $123.04	Professional		$62.20	$64.19	$123.04