Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $472.19 / $472.19	Professional		$303.00	$472.19	$472.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $336.07	Professional		$230.13	$315.25	$336.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $162.49 / $162.49	Facility		$162.49	$162.49	$162.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.65 / $551.21 / $1,653.63	Professional		$523.65	$551.21	$1,653.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $162.49 / $315.25	Facility		$162.49	$162.49	$315.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $336.07 / $543.41	Professional		$230.13	$336.07	$543.41
United Facility/Professional Professional Modifier Low / Median / High Price $266.41 / $527.07 / $687.48	Professional		$266.41	$527.07	$687.48