Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.67 / $906.67 / $906.67	Professional		$906.67	$906.67	$906.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $483.85 / $515.79	Professional		$353.21	$483.85	$515.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $188.20 / $188.20	Facility		$188.20	$188.20	$188.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $633.92 / $983.63 / $1,553.10	Professional		$633.92	$983.63	$1,553.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $188.20 / $483.85	Facility		$188.20	$188.20	$483.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $494.91 / $741.59	Professional		$353.21	$494.91	$741.59
United Facility/Professional Professional Modifier Low / Median / High Price $500.44 / $516.54 / $990.06	Professional		$500.44	$516.54	$990.06