Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $436.52	Professional		$389.05	$426.58	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $426.58 / $707.95	Facility		$389.05	$426.58	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $446.68	Professional		$380.19	$426.58	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $707.95	Facility		$407.38	$426.58	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $173.78	Professional		$79.43	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66