Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $698.90 / $698.90	Professional		$698.90	$698.90	$698.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $399.17	Professional		$282.89	$387.54	$399.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $159.11 / $159.11	Facility		$159.11	$159.11	$159.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.74 / $775.08 / $1,223.81	Professional		$625.74	$775.08	$1,223.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $159.11 / $387.54	Facility		$159.11	$159.11	$387.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $399.17 / $626.91	Professional		$282.89	$399.17	$626.91
United Facility/Professional Professional Modifier Low / Median / High Price $394.33 / $780.14 / $1,017.57	Professional		$394.33	$780.14	$1,017.57