Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.33 / $398.33 / $398.33	Professional		$398.33	$398.33	$398.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $246.97	Professional		$175.04	$239.78	$246.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $119.39	Facility		$119.39	$119.39	$119.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.15 / $469.52 / $682.34	Professional		$432.15	$469.52	$682.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $239.78	Facility		$119.39	$119.39	$239.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $246.97 / $470.42	Professional		$175.04	$246.97	$470.42
United Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $226.94 / $894.53	Professional		$226.94	$226.94	$894.53