Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.63 / $319.63 / $319.63	Facility		$319.63	$319.63	$319.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $316.45 / $383.01	Professional		$203.06	$316.45	$383.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $211.27 / $225.22	Professional		$117.00	$211.27	$225.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $108.90 / $108.90	Facility		$108.90	$108.90	$108.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $554.12	Professional		$350.94	$350.94	$554.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $108.90 / $211.27	Facility		$108.90	$108.90	$211.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $362.21	Professional		$154.22	$211.27	$362.21
United Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $184.30 / $460.74	Professional		$178.55	$184.30	$460.74