Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.40 / $892.40 / $892.40	Professional		$892.40	$892.40	$892.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $748.16 / $810.24	Professional		$579.51	$748.16	$810.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $262.32 / $262.32	Facility		$262.32	$262.32	$262.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $844.01 / $989.67 / $1,562.64	Professional		$844.01	$989.67	$1,562.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $262.32 / $579.51	Facility		$262.32	$262.32	$579.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $748.16 / $845.62	Professional		$579.51	$748.16	$845.62
United Facility/Professional Professional Modifier Low / Median / High Price $519.73 / $996.14 / $1,299.32	Professional		$519.73	$996.14	$1,299.32