Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.57 / $753.57 / $753.57	Professional		$753.57	$753.57	$753.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $367.78	Professional		$367.78	$367.78	$367.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $188.13 / $188.13	Facility		$188.13	$188.13	$188.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.03 / $817.54 / $1,290.85	Professional		$629.03	$817.54	$1,290.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $188.13 / $503.81	Facility		$188.13	$188.13	$503.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $491.09 / $1,008.48	Professional		$367.78	$491.09	$1,008.48
United Facility/Professional Professional Modifier Low / Median / High Price $415.93 / $429.32 / $822.87	Professional		$415.93	$429.32	$822.87