Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.70 / $401.70 / $401.70	Professional		$401.70	$401.70	$401.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $313.72	Professional		$214.82	$294.27	$313.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.79 / $435.79 / $688.10	Professional		$435.79	$435.79	$688.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $294.27	Facility		$135.22	$135.22	$294.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $313.72 / $452.24	Professional		$214.82	$313.72	$452.24
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $315.60 / $315.60	Facility		$276.79	$315.60	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $228.86 / $438.64	Professional		$228.86	$228.86	$438.64