Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $301.86 / $301.86	Professional		$301.86	$301.86	$301.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $70.13	Facility		$70.13	$70.13	$70.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.73 / $327.48 / $517.08	Professional		$274.73	$327.48	$517.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $140.85	Facility		$70.13	$70.13	$140.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $214.48 / $338.89	Professional		$102.82	$214.48	$338.89
United Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $171.98 / $329.62	Professional		$166.61	$171.98	$329.62