Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.67 / $603.67 / $1,378.39	Facility		$603.67	$603.67	$1,378.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $716.93 / $909.92	Professional		$247.18	$716.93	$909.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $264.44 / $264.44	Facility		$264.44	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $281.91	Professional		$193.04	$264.44	$281.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $132.55 / $132.55	Facility		$132.55	$132.55	$132.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.97 / $795.07 / $1,255.38	Professional		$390.97	$795.07	$1,255.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $132.55 / $264.44	Facility		$132.55	$132.55	$264.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $281.91 / $482.28	Professional		$193.04	$281.91	$482.28
United Facility/Professional Professional Modifier Low / Median / High Price $404.50 / $800.26 / $1,043.82	Professional		$404.50	$800.26	$1,043.82