Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.13 / $570.13 / $570.13	Professional		$570.13	$570.13	$570.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $392.05	Professional		$277.86	$380.63	$392.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $196.19 / $196.19	Facility		$196.19	$196.19	$196.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $632.27 / $632.27 / $998.33	Professional		$632.27	$632.27	$998.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $196.19 / $380.63	Facility		$196.19	$196.19	$380.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $392.05 / $656.12	Professional		$277.86	$392.05	$656.12
United Facility/Professional Professional Modifier Low / Median / High Price $321.67 / $636.40 / $830.09	Professional		$321.67	$636.40	$830.09