Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.41 / $579.41 / $579.41	Professional		$579.41	$579.41	$579.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.84 / $398.45	Professional		$282.39	$386.84	$398.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $199.39 / $199.39	Facility		$199.39	$199.39	$199.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.57 / $642.57 / $1,014.59	Professional		$642.57	$642.57	$1,014.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $199.39 / $386.84	Facility		$199.39	$199.39	$386.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $398.45 / $666.83	Professional		$282.39	$398.45	$666.83
United Facility/Professional Professional Modifier Low / Median / High Price $326.92 / $337.45 / $843.62	Professional		$326.92	$337.45	$843.62