Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.83 / $640.83 / $640.83	Professional		$640.83	$640.83	$640.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $384.78	Professional		$272.70	$373.57	$384.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $180.02 / $180.02	Facility		$180.02	$180.02	$180.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.99 / $710.67 / $1,122.10	Professional		$707.99	$710.67	$1,122.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $180.02 / $373.57	Facility		$180.02	$180.02	$373.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $384.78 / $709.34	Professional		$272.70	$384.78	$709.34
United Facility/Professional Facility Modifier Low / Median / High Price $276.36 / $364.85 / $364.85	Facility		$276.36	$364.85	$364.85
United Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $715.31 / $933.02	Professional		$361.56	$715.31	$933.02