Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $6,456.54	Professional		$3,630.78	$4,897.79	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,786.30 / $5,623.41	Professional		$616.60	$4,786.30	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $776.25	Facility		$501.19	$588.84	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $10,000.00	Professional		$4,073.80	$4,897.79	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,630.78 / $7,413.10	Facility		$389.05	$3,630.78	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,786.30 / $4,786.30	Professional		$79.43	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $4,677.35	Facility		$524.81	$524.81	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,786.30	Professional		$2,511.89	$2,511.89	$4,786.30