Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.64 / $523.64 / $523.64	Professional		$523.64	$523.64	$523.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $259.25	Professional		$177.53	$243.19	$259.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $112.81 / $112.81	Facility		$112.81	$112.81	$112.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.43 / $568.09 / $896.99	Professional		$403.43	$568.09	$896.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $112.81 / $243.19	Facility		$112.81	$112.81	$243.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $259.25 / $444.52	Professional		$177.53	$259.25	$444.52
United Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $298.33 / $571.79	Professional		$289.02	$298.33	$571.79