Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.27 / $688.27 / $688.27	Professional		$688.27	$688.27	$688.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $310.26	Professional		$212.45	$291.02	$310.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $120.15 / $120.15	Facility		$120.15	$120.15	$120.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $763.28 / $1,205.18	Professional		$354.41	$763.28	$1,205.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $120.15 / $291.02	Facility		$120.15	$120.15	$291.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $447.04	Professional		$212.45	$291.02	$447.04
United Facility/Professional Facility Modifier Low / Median / High Price $184.46 / $211.05 / $211.05	Facility		$184.46	$211.05	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $388.32 / $768.26 / $1,002.08	Professional		$388.32	$768.26	$1,002.08