Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.69 / $483.69 / $483.69	Professional		$483.69	$483.69	$483.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $278.11	Professional		$190.44	$260.88	$278.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.30 / $524.75 / $828.56	Professional		$497.30	$524.75	$828.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $260.88	Facility		$129.88	$129.88	$260.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $511.81	Professional		$190.44	$260.88	$511.81
United Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $275.57 / $528.16	Professional		$266.97	$275.57	$528.16