Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.26 / $388.26 / $388.26	Professional		$388.26	$388.26	$388.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $484.42 / $516.41	Professional		$353.63	$484.42	$516.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.79 / $210.79 / $210.79	Facility		$210.79	$210.79	$210.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.21 / $665.07 / $666.09	Professional		$421.21	$665.07	$666.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.79 / $210.79 / $484.42	Facility		$210.79	$210.79	$484.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $516.41 / $667.37	Professional		$353.63	$516.41	$667.37
United Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $221.20 / $423.96	Professional		$221.20	$221.20	$423.96