Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $167.70 / $167.70	Professional		$167.70	$167.70	$167.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $69.77	Professional		$57.58	$67.73	$69.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $56.03 / $56.03	Facility		$56.03	$56.03	$56.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $180.52 / $180.52	Professional		$180.52	$180.52	$180.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $56.03 / $67.73	Facility		$56.03	$56.03	$67.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $69.77 / $186.28	Professional		$57.58	$69.77	$186.28
United Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $115.71 / $221.78	Professional		$112.10	$115.71	$221.78