Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.95 / $477.95 / $477.95	Professional		$477.95	$477.95	$477.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $285.79	Professional		$195.70	$268.08	$285.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $530.04 / $836.91	Professional		$335.38	$530.04	$836.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $268.08	Facility		$104.21	$104.21	$268.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $410.63	Professional		$195.70	$268.08	$410.63
United Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $278.35 / $695.87	Professional		$242.16	$278.35	$695.87