Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.70 / $986.70 / $986.70	Professional		$986.70	$986.70	$986.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $420.97	Professional		$298.36	$408.71	$420.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $210.66 / $210.66	Facility		$210.66	$210.66	$210.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $1,094.24 / $1,727.75	Professional		$732.07	$1,094.24	$1,727.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $210.66 / $408.71	Facility		$210.66	$210.66	$408.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $420.97 / $830.10	Professional		$298.36	$420.97	$830.10
United Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $861.95 / $1,436.58	Professional		$556.70	$861.95	$1,436.58