Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.35 / $315.35 / $315.35	Professional		$315.35	$315.35	$315.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $243.36	Professional		$166.64	$228.28	$243.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $117.66 / $117.66	Facility		$117.66	$117.66	$117.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $404.28 / $540.17	Professional		$342.11	$404.28	$540.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $117.66 / $228.28	Facility		$117.66	$117.66	$228.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $243.36 / $422.02	Professional		$166.64	$243.36	$422.02
United Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $179.66 / $344.36	Professional		$174.06	$179.66	$344.36