Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $296.50 / $296.50	Professional		$278.95	$296.50	$296.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $211.02	Professional		$144.50	$197.94	$211.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $102.03 / $102.03	Facility		$102.03	$102.03	$102.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $328.81 / $519.17	Professional		$328.81	$328.81	$519.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $102.03 / $197.94	Facility		$102.03	$102.03	$197.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $211.02 / $341.23	Professional		$144.50	$211.02	$341.23
United Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $330.95 / $431.67	Professional		$167.28	$330.95	$431.67