Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.48 / $562.48 / $562.48	Professional		$562.48	$562.48	$562.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $447.99	Professional		$278.88	$382.03	$447.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $193.91 / $193.91	Facility		$193.91	$193.91	$193.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $610.22 / $711.10 / $963.51	Professional		$610.22	$711.10	$963.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $193.91 / $382.03	Facility		$193.91	$193.91	$382.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $447.99 / $752.75	Professional		$278.88	$447.99	$752.75
United Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $320.45 / $614.22	Professional		$310.45	$320.45	$614.22