Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $275.45 / $275.45	Professional		$275.45	$275.45	$275.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $240.59	Professional		$164.75	$225.68	$240.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $96.85 / $96.85	Facility		$96.85	$96.85	$96.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.83 / $313.68 / $471.84	Professional		$298.83	$313.68	$471.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $96.85 / $225.68	Facility		$96.85	$96.85	$225.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $240.59 / $368.63	Professional		$164.75	$240.59	$368.63
United Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $156.94 / $300.79	Professional		$152.04	$156.94	$300.79