Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $294.49 / $388.72	Professional		$294.49	$294.49	$388.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $282.89 / $306.37	Professional		$212.98	$282.89	$306.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Facility		$101.34	$101.34	$101.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $326.58 / $515.66	Professional		$326.58	$326.58	$515.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $212.98	Facility		$101.34	$101.34	$212.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $282.89 / $332.02	Professional		$212.98	$282.89	$332.02
United Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $328.72 / $428.76	Professional		$166.15	$328.72	$428.76