Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.07 / $306.07 / $306.07	Professional		$306.07	$306.07	$306.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $246.96	Professional		$169.11	$231.66	$246.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $103.04 / $103.04	Facility		$103.04	$103.04	$103.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $332.05 / $524.29	Professional		$332.05	$332.05	$524.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $103.04 / $231.66	Facility		$103.04	$103.04	$231.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $246.96 / $409.61	Professional		$169.11	$246.96	$409.61
United Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $174.38 / $334.22	Professional		$168.94	$174.38	$334.22