Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.10 / $952.10 / $952.10	Professional		$952.10	$952.10	$952.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $206.00	Professional		$170.00	$200.00	$206.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $515.83 / $694.56	Facility		$328.38	$515.83	$694.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $511.19 / $642.20	Facility		$328.38	$511.19	$642.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $206.00	Professional		$170.00	$200.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.13 / $1,077.41 / $1,967.45	Professional		$562.13	$1,077.41	$1,967.45