Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.52 / $763.52 / $763.52	Professional		$352.52	$763.52	$763.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $184.40	Professional		$184.40	$184.40	$184.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $128.93	Facility		$128.93	$128.93	$128.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.05 / $846.74 / $1,336.95	Professional		$507.05	$846.74	$1,336.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $252.60	Facility		$128.93	$128.93	$252.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $395.86 / $625.48	Professional		$184.40	$395.86	$625.48
United Facility/Professional Professional Modifier Low / Median / High Price $430.79 / $852.27 / $1,111.65	Professional		$430.79	$852.27	$1,111.65