Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.13 / $464.29 / $612.86	Professional		$300.13	$464.29	$612.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $244.66	Professional		$167.54	$229.50	$244.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Facility		$109.77	$109.77	$109.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $514.89 / $812.99	Professional		$323.77	$514.89	$812.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $109.77 / $229.50	Facility		$109.77	$109.77	$229.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $399.38	Professional		$167.54	$229.50	$399.38
United Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $518.26 / $675.99	Professional		$261.95	$518.26	$675.99