Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.21 / $2,162.21 / $7,644.21	Facility		$2,162.21	$2,162.21	$7,644.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $2,184.06 / $2,184.06	Professional		$1,342.79	$2,184.06	$2,184.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,123.21 / $3,123.21 / $3,123.21	Facility		$3,123.21	$3,123.21	$3,123.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.36 / $1,318.36 / $1,883.38	Professional		$1,318.36	$1,318.36	$1,883.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,123.21 / $3,123.21 / $3,123.21	Facility		$3,123.21	$3,123.21	$3,123.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.36 / $1,429.07 / $1,883.38	Professional		$1,318.36	$1,429.07	$1,883.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $2,082.94 / $2,801.14	Professional		$1,388.63	$2,082.94	$2,801.14