Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.63 / $764.63 / $764.63	Professional		$764.63	$764.63	$764.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $478.19	Professional		$327.45	$448.56	$478.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $227.22 / $227.22	Facility		$227.22	$227.22	$227.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $829.54 / $893.62 / $1,309.80	Professional		$829.54	$893.62	$1,309.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $227.22 / $448.56	Facility		$227.22	$227.22	$448.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $478.19 / $895.33	Professional		$327.45	$478.19	$895.33
United Facility/Professional Professional Modifier Low / Median / High Price $422.03 / $435.63 / $834.96	Professional		$422.03	$435.63	$834.96