Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.03 / $551.03 / $551.03	Facility		$551.03	$551.03	$551.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $460.24 / $607.51	Professional		$227.90	$460.24	$607.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $237.10 / $237.10	Facility		$237.10	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $252.76	Professional		$173.08	$237.10	$252.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $122.21 / $122.21	Facility		$122.21	$122.21	$122.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.24 / $510.41 / $805.91	Professional		$376.24	$510.41	$805.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $122.21 / $237.10	Facility		$122.21	$122.21	$237.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $252.76 / $464.11	Professional		$173.08	$252.76	$464.11
United Facility/Professional Professional Modifier Low / Median / High Price $259.68 / $513.74 / $670.10	Professional		$259.68	$513.74	$670.10