Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.55 / $464.55 / $464.55	Professional		$464.55	$464.55	$464.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $438.06	Professional		$299.97	$410.92	$438.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $211.80 / $211.80	Facility		$211.80	$211.80	$211.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.98 / $668.76 / $795.77	Professional		$503.98	$668.76	$795.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $211.80 / $410.92	Facility		$211.80	$211.80	$410.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $438.06 / $670.04	Professional		$299.97	$438.06	$670.04
United Facility/Professional Professional Modifier Low / Median / High Price $264.67 / $264.67 / $507.29	Professional		$264.67	$264.67	$507.29