Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.83 / $398.83 / $398.83	Professional		$398.83	$398.83	$398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $216.96	Professional		$148.56	$203.51	$216.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $104.90 / $104.90	Facility		$104.90	$104.90	$104.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $432.68 / $683.18	Professional		$337.73	$432.68	$683.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $104.90 / $203.51	Facility		$104.90	$104.90	$203.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $413.33	Professional		$148.56	$203.51	$413.33
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $227.22 / $435.51	Professional		$227.22	$227.22	$435.51