Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.90 / $656.90 / $656.90	Professional		$656.90	$656.90	$656.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $363.13	Professional		$257.36	$352.55	$363.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $148.11 / $148.11	Facility		$148.11	$148.11	$148.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.50 / $728.50 / $1,150.26	Professional		$582.50	$728.50	$1,150.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $148.11 / $352.55	Facility		$148.11	$148.11	$352.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $363.13 / $583.61	Professional		$257.36	$363.13	$583.61
United Facility/Professional Professional Modifier Low / Median / High Price $370.63 / $733.25 / $956.42	Professional		$370.63	$733.25	$956.42