Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,754.23	Professional		$1,737.80	$2,238.72	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,041.74 / $2,398.83	Professional		$251.19	$2,041.74	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $245.47 / $380.19	Facility		$239.88	$245.47	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $4,466.84	Professional		$1,659.59	$1,737.80	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,737.80 / $3,388.44	Facility		$186.21	$1,737.80	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,041.74	Professional		$79.43	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $2,137.96	Facility		$234.42	$234.42	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $2,187.76	Professional		$1,148.15	$1,230.27	$2,187.76