Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.60 / $289.60 / $289.60	Professional		$289.60	$289.60	$289.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $251.39	Professional		$178.17	$244.07	$251.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $108.28 / $108.28	Facility		$108.28	$108.28	$108.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.17 / $392.82 / $496.07	Professional		$314.17	$392.82	$496.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $108.28 / $244.07	Facility		$108.28	$108.28	$244.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $251.39 / $387.55	Professional		$178.17	$251.39	$387.55
United Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $164.99 / $316.24	Professional		$164.99	$164.99	$316.24