Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $489.78	Professional		$295.12	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Facility		$489.78	$489.78	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $346.74	Professional		$60.26	$245.47	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Facility		$489.78	$489.78	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $346.74	Professional		$60.26	$245.47	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $831.76	Professional		$302.00	$446.68	$831.76