Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.79 / $898.95 / $898.95	Professional		$845.79	$898.95	$898.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $731.38	Facility		$731.38	$731.38	$731.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $857.66	Professional		$533.91	$731.38	$857.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $309.33 / $309.33	Facility		$309.33	$309.33	$309.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $996.93 / $996.93 / $1,574.10	Professional		$996.93	$996.93	$1,574.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $309.33 / $731.38	Facility		$309.33	$309.33	$731.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $857.66 / $1,229.76	Professional		$533.91	$857.66	$1,229.76
United Facility/Professional Professional Modifier Low / Median / High Price $507.20 / $1,003.43 / $1,308.83	Professional		$507.20	$1,003.43	$1,308.83