Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $539.00 / $539.00	Professional		$539.00	$539.00	$539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $200.62	Professional		$137.38	$188.19	$200.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $597.75 / $943.82	Professional		$290.25	$597.75	$943.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $188.19	Facility		$97.00	$97.00	$188.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $358.04	Professional		$137.38	$188.19	$358.04
United Facility/Professional Professional Modifier Low / Median / High Price $304.10 / $601.65 / $784.76	Professional		$304.10	$601.65	$784.76