Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.05 / $339.05 / $339.05	Professional		$339.05	$339.05	$339.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $325.73	Professional		$223.04	$305.54	$325.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $157.49 / $157.49	Facility		$157.49	$157.49	$157.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $503.08 / $580.77	Professional		$367.82	$503.08	$580.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $157.49 / $305.54	Facility		$157.49	$157.49	$305.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $325.73 / $504.04	Professional		$223.04	$325.73	$504.04
United Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $193.16 / $370.23	Professional		$187.14	$193.16	$370.23