Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.23 / $589.23 / $589.23	Professional		$589.23	$589.23	$589.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $313.17	Professional		$214.45	$293.77	$313.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $136.24 / $136.24	Facility		$136.24	$136.24	$136.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.98 / $639.25 / $1,009.34	Professional		$446.98	$639.25	$1,009.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $136.24 / $293.77	Facility		$136.24	$136.24	$293.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $313.17 / $536.83	Professional		$214.45	$313.17	$536.83
United Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $335.70 / $643.42	Professional		$325.22	$335.70	$643.42