Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.29 / $679.29 / $679.29	Professional		$679.29	$679.29	$679.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.91 / $420.99	Professional		$288.27	$394.91	$420.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $203.55 / $203.55	Facility		$203.55	$203.55	$203.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.31 / $736.95 / $1,163.60	Professional		$695.31	$736.95	$1,163.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $203.55 / $394.91	Facility		$203.55	$203.55	$394.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $420.99 / $718.63	Professional		$288.27	$420.99	$718.63
United Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $387.01 / $741.76	Professional		$374.93	$387.01	$741.76