Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $478.32 / $478.32	Professional		$478.32	$478.32	$478.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $385.94	Professional		$264.27	$362.03	$385.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $161.02 / $161.02	Facility		$161.02	$161.02	$161.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.91 / $518.91 / $819.35	Professional		$518.91	$518.91	$819.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $161.02 / $362.03	Facility		$161.02	$161.02	$362.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $385.94 / $538.53	Professional		$264.27	$385.94	$538.53
United Facility/Professional Professional Modifier Low / Median / High Price $264.01 / $272.51 / $522.30	Professional		$264.01	$272.51	$522.30