Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $255.20 / $255.20	Professional		$255.20	$255.20	$255.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $264.43	Professional		$181.08	$248.05	$264.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Facility		$122.85	$122.85	$122.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.86 / $362.36 / $437.15	Professional		$276.86	$362.36	$437.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $248.05	Facility		$122.85	$122.85	$248.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $341.52	Professional		$181.08	$248.05	$341.52
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $145.40 / $278.68	Professional		$140.86	$145.40	$278.68