Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $450.29 / $561.74	Professional		$450.29	$450.29	$561.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.91 / $643.91 / $643.91	Facility		$643.91	$643.91	$643.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.76 / $361.76 / $516.79	Professional		$361.76	$361.76	$516.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.91 / $643.91 / $643.91	Facility		$643.91	$643.91	$643.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $516.79	Professional		$358.29	$358.29	$516.79
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $1,015.20 / $1,365.24	Professional		$676.80	$1,015.20	$1,365.24