Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $362.59 / $362.59	Professional		$362.59	$362.59	$362.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $189.38	Professional		$129.68	$177.64	$189.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $89.69 / $89.69	Facility		$89.69	$89.69	$89.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.24 / $393.37 / $621.11	Professional		$271.24	$393.37	$621.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $89.69 / $177.64	Facility		$89.69	$89.69	$177.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $189.38 / $334.60	Professional		$129.68	$189.38	$334.60
United Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $206.58 / $395.95	Professional		$200.14	$206.58	$395.95