Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.19 / $328.19 / $328.19	Professional		$328.19	$328.19	$328.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $311.93	Professional		$257.41	$302.83	$311.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.20 / $350.20 / $350.20	Professional		$350.20	$350.20	$350.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $302.83	Facility		$109.76	$109.76	$302.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $311.93 / $357.57	Professional		$257.41	$311.93	$357.57
United Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $256.16 / $256.16	Facility		$224.66	$256.16	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $226.68 / $434.47	Professional		$226.68	$226.68	$434.47