Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $727.26 / $1,876.80	Facility		$163.50	$727.26	$1,876.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.79 / $295.88 / $365.12	Facility		$261.79	$295.88	$365.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.39 / $296.75 / $727.26	Facility		$254.39	$296.75	$727.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.09 / $354.09 / $478.02	Professional		$354.09	$354.09	$478.02