Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.77 / $455.77 / $455.77	Professional		$455.77	$455.77	$455.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $433.23	Professional		$357.52	$420.61	$433.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $152.43 / $152.43	Facility		$152.43	$152.43	$152.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.27 / $502.27 / $502.27	Professional		$502.27	$502.27	$502.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $152.43 / $420.61	Facility		$152.43	$152.43	$420.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $433.23 / $503.23	Professional		$357.52	$433.23	$503.23
United Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $314.83 / $603.41	Professional		$314.83	$314.83	$603.41