Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.64 / $582.64 / $582.64	Professional		$582.64	$582.64	$582.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.66 / $415.39	Professional		$284.45	$389.66	$415.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $200.84 / $200.84	Facility		$200.84	$200.84	$200.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $632.09 / $707.69 / $998.04	Professional		$632.09	$707.69	$998.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $200.84 / $389.66	Facility		$200.84	$200.84	$389.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $415.39 / $735.23	Professional		$284.45	$415.39	$735.23
United Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $331.94 / $636.21	Professional		$321.58	$331.94	$636.21