Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,890.00 / $1,890.00	Professional		$1,162.00	$1,890.00	$1,890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,702.70 / $2,702.70 / $2,702.70	Facility		$2,702.70	$2,702.70	$2,702.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.89 / $710.89 / $1,015.55	Professional		$710.89	$710.89	$1,015.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,702.70 / $2,702.70 / $2,702.70	Facility		$2,702.70	$2,702.70	$2,702.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $1,015.55	Professional		$659.12	$659.12	$1,015.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $2,100.00 / $2,824.08	Professional		$1,400.00	$2,100.00	$2,824.08