Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $659.13 / $659.13	Professional		$659.13	$659.13	$659.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Professional		$103.02	$103.02	$103.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $730.97 / $1,154.16	Professional		$214.55	$730.97	$1,154.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $141.12	Facility		$72.73	$72.73	$141.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $167.49 / $901.69	Professional		$103.02	$167.49	$901.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.89 / $383.87 / $959.67	Professional		$371.89	$383.87	$959.67