Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.42 / $415.42 / $415.42	Professional		$415.42	$415.42	$415.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $177.21	Professional		$121.35	$166.23	$177.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.52 / $74.52	Facility		$74.52	$74.52	$74.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $460.70 / $727.43	Professional		$254.62	$460.70	$727.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.52 / $166.23	Facility		$74.52	$74.52	$166.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $177.21 / $293.64	Professional		$121.35	$177.21	$293.64
United Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $463.70 / $604.83	Professional		$234.38	$463.70	$604.83