Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.87 / $711.87 / $711.87	Professional		$711.87	$711.87	$711.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $373.35 / $384.55	Professional		$272.55	$373.35	$384.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.40 / $168.40	Facility		$168.40	$168.40	$168.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $587.03 / $789.47 / $1,246.53	Professional		$587.03	$789.47	$1,246.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.40 / $373.35	Facility		$168.40	$168.40	$373.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $384.55 / $663.55	Professional		$272.55	$384.55	$663.55
United Facility/Professional Professional Modifier Low / Median / High Price $401.65 / $794.62 / $1,036.46	Professional		$401.65	$794.62	$1,036.46