Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.80 / $422.80 / $422.80	Professional		$422.80	$422.80	$422.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $326.39	Professional		$223.50	$306.16	$326.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $128.19 / $128.19	Facility		$128.19	$128.19	$128.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $458.69 / $724.25	Professional		$441.76	$458.69	$724.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $128.19 / $306.16	Facility		$128.19	$128.19	$306.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $326.39 / $465.49	Professional		$223.50	$326.39	$465.49
United Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $240.88 / $461.68	Professional		$233.36	$240.88	$461.68