Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $461.23 / $461.23	Professional		$461.23	$461.23	$461.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $88.12 / $88.12	Facility		$88.12	$88.12	$88.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.83 / $511.50 / $807.63	Professional		$306.83	$511.50	$807.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $88.12 / $170.96	Facility		$88.12	$88.12	$170.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $239.54 / $378.50	Professional		$124.80	$239.54	$378.50
United Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $514.83 / $671.52	Professional		$260.23	$514.83	$671.52