Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.43 / $915.43 / $915.43	Professional		$915.43	$915.43	$915.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $526.90	Professional		$360.80	$494.25	$526.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $254.75 / $254.75	Facility		$254.75	$254.75	$254.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $1,015.21 / $1,602.96	Professional		$935.26	$1,015.21	$1,602.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $254.75 / $494.25	Facility		$254.75	$254.75	$494.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $526.90 / $1,003.83	Professional		$360.80	$526.90	$1,003.83
United Facility/Professional Professional Modifier Low / Median / High Price $516.49 / $1,021.82 / $1,332.81	Professional		$516.49	$1,021.82	$1,332.81