Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.85 / $761.85 / $761.85	Professional		$761.85	$761.85	$761.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $131.84	Professional		$108.80	$128.00	$131.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $412.76 / $555.77	Facility		$262.77	$412.76	$555.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $409.04 / $513.87	Facility		$262.77	$409.04	$513.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $131.84	Professional		$108.80	$128.00	$131.84
United Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $862.12 / $1,539.09	Professional		$449.80	$862.12	$1,539.09