Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,170.22 / $8,589.25 / $14,593.40	Facility		$5,170.22	$8,589.25	$14,593.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.85 / $4,169.54 / $4,169.54	Professional		$1,163.85	$4,169.54	$4,169.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $94.95 / $94.95	Facility		$94.95	$94.95	$94.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.28 / $1,354.64 / $1,693.30	Professional		$588.28	$1,354.64	$1,693.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,268.35 / $1,268.35 / $1,268.35	Facility		$1,268.35	$1,268.35	$1,268.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $940.31 / $940.31 / $1,343.30	Professional		$940.31	$940.31	$1,343.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,268.35 / $1,268.35 / $1,268.35	Facility		$1,268.35	$1,268.35	$1,268.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.28 / $1,343.30 / $2,400,000.00	Professional		$588.28	$1,343.30	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $2,229.32 / $3,468.34	Professional		$20.12	$2,229.32	$3,468.34