Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.25 / $2,261.25 / $2,261.25	Professional		$1,390.25	$2,261.25	$2,261.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,233.59 / $3,233.59 / $3,233.59	Facility		$3,233.59	$3,233.59	$3,233.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.60 / $1,488.60 / $2,126.58	Professional		$1,488.60	$1,488.60	$2,126.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,233.59 / $3,233.59 / $3,233.59	Facility		$3,233.59	$3,233.59	$3,233.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $2,126.58	Professional		$1,380.10	$1,380.10	$2,126.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $2,512.50 / $3,378.81	Professional		$1,675.00	$2,512.50	$3,378.81