Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.83 / $591.83 / $591.83	Professional		$591.83	$591.83	$591.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Professional		$287.52	$287.52	$287.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Facility		$173.49	$173.49	$173.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $577.48 / $642.07 / $1,013.79	Professional		$577.48	$642.07	$1,013.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $173.49 / $393.88	Facility		$173.49	$173.49	$393.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $450.83 / $712.34	Professional		$287.52	$450.83	$712.34
United Facility/Professional Professional Modifier Low / Median / High Price $326.66 / $337.18 / $646.25	Professional		$326.66	$337.18	$646.25