Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.18 / $680.18 / $680.18	Professional		$680.18	$680.18	$680.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $423.86	Professional		$263.86	$361.45	$423.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $164.30 / $164.30	Facility		$164.30	$164.30	$164.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.36 / $754.31 / $1,191.02	Professional		$485.36	$754.31	$1,191.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $164.30 / $361.45	Facility		$164.30	$164.30	$361.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $378.93 / $598.73	Professional		$263.86	$378.93	$598.73
United Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $759.23 / $990.30	Professional		$383.76	$759.23	$990.30