Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $299.70 / $1,434.60	Facility		$43.35	$299.70	$1,434.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.54 / $684.54 / $841.98	Professional		$684.54	$684.54	$841.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $490.38	Professional		$335.80	$460.00	$490.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $220.60 / $220.60	Facility		$220.60	$220.60	$220.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.67 / $759.15 / $1,198.67	Professional		$650.67	$759.15	$1,198.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $220.60 / $460.00	Facility		$220.60	$220.60	$460.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $490.38 / $802.66	Professional		$335.80	$490.38	$802.66
United Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $764.11 / $996.66	Professional		$386.22	$764.11	$996.66