Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $329.10 / $329.10	Professional		$329.10	$329.10	$329.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $229.14	Professional		$156.91	$214.95	$229.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $104.44	Facility		$104.44	$104.44	$104.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $362.64 / $572.60	Professional		$190.35	$362.64	$572.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $214.95	Facility		$104.44	$104.44	$214.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $229.14 / $268.57	Professional		$156.91	$229.14	$268.57
United Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $258.70 / $646.77	Professional		$242.73	$258.70	$646.77