Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.97 / $615.97 / $615.97	Professional		$615.97	$615.97	$615.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $360.86 / $384.69	Professional		$263.43	$360.86	$384.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $134.75	Facility		$134.75	$134.75	$134.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.78 / $668.26 / $1,055.15	Professional		$528.78	$668.26	$1,055.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $360.86	Facility		$134.75	$134.75	$360.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $384.69 / $530.95	Professional		$263.43	$384.69	$530.95
United Facility/Professional Professional Modifier Low / Median / High Price $339.98 / $350.93 / $672.61	Professional		$339.98	$350.93	$672.61