Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.60 / $298.60 / $298.60	Professional		$298.60	$298.60	$298.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $289.63	Professional		$198.33	$271.68	$289.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $108.72	Facility		$108.72	$108.72	$108.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.94 / $356.20 / $511.49	Professional		$323.94	$356.20	$511.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $271.68	Facility		$108.72	$108.72	$271.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $278.08 / $383.93	Professional		$198.33	$278.08	$383.93
United Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $170.11 / $326.05	Professional		$164.80	$170.11	$326.05