Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.84 / $568.84 / $568.84	Professional		$568.84	$568.84	$568.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $414.15	Professional		$293.52	$402.09	$414.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $169.94 / $169.94	Facility		$169.94	$169.94	$169.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.50 / $617.13 / $974.42	Professional		$578.50	$617.13	$974.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $169.94 / $402.09	Facility		$169.94	$169.94	$402.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $414.15 / $624.52	Professional		$293.52	$414.15	$624.52
United Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $324.08 / $621.15	Professional		$313.95	$324.08	$621.15