Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.14 / $493.14 / $493.14	Professional		$493.14	$493.14	$493.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $292.66	Professional		$200.41	$274.52	$292.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $133.44	Facility		$133.44	$133.44	$133.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.27 / $535.00 / $844.74	Professional		$452.27	$535.00	$844.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $274.52	Facility		$133.44	$133.44	$274.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $292.66 / $524.78	Professional		$200.41	$292.66	$524.78
United Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $280.95 / $538.49	Professional		$272.18	$280.95	$538.49