Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $282.50	Professional		$233.13	$274.27	$282.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $99.40 / $99.40	Facility		$99.40	$99.40	$99.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $343.21 / $343.21	Professional		$343.21	$343.21	$343.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $99.40 / $274.27	Facility		$99.40	$99.40	$274.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $282.50 / $345.52	Professional		$233.13	$282.50	$345.52
United Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $205.30 / $393.48	Professional		$205.30	$205.30	$393.48