Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.74 / $2,125.50 / $10,562.30	Professional		$1,732.74	$2,125.50	$10,562.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,269.36 / $2,269.36 / $3,039.47	Facility		$2,269.36	$2,269.36	$3,039.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $550.53 / $2,608.32 / $5,491.22	Professional		$550.53	$2,608.32	$5,491.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,269.36 / $2,269.36 / $3,039.47	Facility		$2,269.36	$2,269.36	$3,039.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,650.13 / $6,087.80 / $9,131.70	Professional		$3,650.13	$6,087.80	$9,131.70