Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.03 / $750.03 / $750.03	Professional		$750.03	$750.03	$750.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $665.79	Professional		$455.91	$624.54	$665.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $252.48 / $252.48	Facility		$252.48	$252.48	$252.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $813.69 / $1,284.78	Professional		$813.69	$813.69	$1,284.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $252.48 / $624.54	Facility		$252.48	$252.48	$624.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $665.79 / $1,003.74	Professional		$455.91	$665.79	$1,003.74
United Facility/Professional Professional Modifier Low / Median / High Price $427.31 / $427.31 / $819.02	Professional		$427.31	$427.31	$819.02