Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.03 / $354.03 / $354.03	Professional		$354.03	$354.03	$354.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $285.63	Professional		$195.60	$267.94	$285.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $119.17 / $119.17	Facility		$119.17	$119.17	$119.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.09 / $384.09 / $606.45	Professional		$384.09	$384.09	$606.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $119.17 / $267.94	Facility		$119.17	$119.17	$267.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $285.63 / $473.78	Professional		$195.60	$285.63	$473.78
United Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $201.70 / $386.58	Professional		$195.40	$201.70	$386.58