Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.79 / $1,034.16 / $1,034.16	Professional		$663.79	$1,034.16	$1,034.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $551.92 / $806.01	Professional		$30.00	$551.92	$806.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $355.96 / $355.96	Facility		$355.96	$355.96	$355.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.88 / $1,207.24 / $3,621.72	Professional		$1,146.88	$1,207.24	$3,621.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $355.96 / $756.07	Facility		$355.96	$355.96	$756.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $806.01 / $1,192.57	Professional		$30.00	$806.01	$1,192.57
United Facility/Professional Professional Modifier Low / Median / High Price $583.48 / $1,154.35 / $1,505.69	Professional		$583.48	$1,154.35	$1,505.69