Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.22 / $579.22 / $579.22	Professional		$579.22	$579.22	$579.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $319.38	Professional		$319.38	$319.38	$319.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $193.66 / $193.66	Facility		$193.66	$193.66	$193.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.72 / $634.72 / $634.72	Professional		$634.72	$634.72	$634.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $193.66 / $375.74	Facility		$193.66	$193.66	$375.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $495.52 / $782.96	Professional		$319.38	$495.52	$782.96
United Facility/Professional Professional Modifier Low / Median / High Price $399.99 / $399.99 / $766.65	Professional		$399.99	$399.99	$766.65