Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.85 / $559.85 / $559.85	Professional		$559.85	$559.85	$559.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $357.88	Professional		$253.65	$347.46	$357.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $166.32 / $166.32	Facility		$166.32	$166.32	$166.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $606.07 / $620.86 / $980.31	Professional		$606.07	$620.86	$980.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $166.32 / $347.46	Facility		$166.32	$166.32	$347.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $357.88 / $647.42	Professional		$253.65	$357.88	$647.42
United Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $624.91 / $815.10	Professional		$315.86	$624.91	$815.10