Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.43 / $499.43 / $499.43	Professional		$499.43	$499.43	$499.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $289.08	Professional		$204.89	$280.67	$289.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $130.85 / $130.85	Facility		$130.85	$130.85	$130.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.85 / $541.82 / $855.51	Professional		$389.85	$541.82	$855.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $130.85 / $280.67	Facility		$130.85	$130.85	$280.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $289.08 / $480.90	Professional		$204.89	$289.08	$480.90
United Facility/Professional Professional Modifier Low / Median / High Price $275.66 / $284.54 / $545.36	Professional		$275.66	$284.54	$545.36