Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.48 / $438.48 / $438.48	Professional		$438.48	$438.48	$438.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $193.87	Professional		$137.40	$188.22	$193.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $97.02 / $97.02	Facility		$97.02	$97.02	$97.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $486.28 / $767.81	Professional		$336.60	$486.28	$767.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $97.02 / $188.22	Facility		$97.02	$97.02	$188.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $382.28	Professional		$137.40	$188.22	$382.28
United Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $383.05 / $638.41	Professional		$247.40	$383.05	$638.41