Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.29 / $862.29 / $862.29	Professional		$862.29	$862.29	$862.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $533.64	Professional		$365.42	$500.58	$533.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $223.48 / $223.48	Facility		$223.48	$223.48	$223.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $871.33 / $935.48 / $1,477.08	Professional		$871.33	$935.48	$1,477.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $223.48 / $500.58	Facility		$223.48	$223.48	$500.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $533.64 / $880.58	Professional		$365.42	$533.64	$880.58
United Facility/Professional Professional Modifier Low / Median / High Price $491.26 / $491.26 / $941.59	Professional		$491.26	$491.26	$941.59