Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.72 / $781.72 / $781.72	Professional		$781.72	$781.72	$781.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $388.52	Professional		$266.04	$364.44	$388.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $166.57 / $166.57	Facility		$166.57	$166.57	$166.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.52 / $848.07 / $1,339.07	Professional		$630.52	$848.07	$1,339.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $166.57 / $364.44	Facility		$166.57	$166.57	$364.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $388.52 / $656.34	Professional		$266.04	$388.52	$656.34
United Facility/Professional Professional Modifier Low / Median / High Price $431.47 / $445.37 / $853.62	Professional		$431.47	$445.37	$853.62