Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $7,310.00	Facility		$3,106.75	$3,106.75	$7,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,033.65 / $3,033.65 / $3,106.75	Professional		$3,033.65	$3,033.65	$3,106.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461,443.75 / $461,443.75 / $461,443.75	Facility		$461,443.75	$461,443.75	$461,443.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,033.65 / $4,338.12 / $6,522.35	Facility		$3,033.65	$4,338.12	$6,522.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,302.84 / $3,903.35 / $7,506.45	Professional		$3,302.84	$3,903.35	$7,506.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,874.62 / $79,999.20 / $79,999.20	Facility		$2,874.62	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,176.80 / $4,020.50 / $9,015.66	Facility		$3,176.80	$4,020.50	$9,015.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $3,807.29 / $3,807.29	Professional		$3,106.75	$3,807.29	$3,807.29
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83