Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $262.23 / $262.23	Professional		$262.23	$262.23	$262.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $175.66	Professional		$124.49	$170.54	$175.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.49 / $302.61 / $449.19	Professional		$284.49	$302.61	$449.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $170.54	Facility		$87.90	$87.90	$170.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $175.66 / $303.98	Professional		$124.49	$175.66	$303.98
United Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $149.40 / $286.35	Professional		$144.74	$149.40	$286.35