Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.56 / $687.56 / $687.56	Professional		$687.56	$687.56	$687.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $563.38	Professional		$385.78	$528.47	$563.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $204.78 / $204.78	Facility		$204.78	$204.78	$204.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.92 / $805.37 / $1,177.77	Professional		$745.92	$805.37	$1,177.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $204.78 / $528.47	Facility		$204.78	$204.78	$528.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $563.38 / $806.91	Professional		$385.78	$563.38	$806.91
United Facility/Professional Professional Modifier Low / Median / High Price $391.72 / $391.72 / $750.79	Professional		$391.72	$391.72	$750.79