Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.93 / $1,001.93 / $1,001.93	Professional		$1,001.93	$1,001.93	$1,001.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $736.69	Facility		$736.69	$736.69	$736.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $537.78	Professional		$537.78	$537.78	$537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $344.78 / $344.78	Facility		$344.78	$344.78	$344.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.11 / $1,169.59 / $3,508.80	Professional		$1,111.11	$1,169.59	$3,508.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $344.78 / $736.69	Facility		$344.78	$344.78	$736.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $867.45 / $1,370.63	Professional		$537.78	$867.45	$1,370.63
United Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $1,118.38 / $1,458.75	Professional		$565.29	$1,118.38	$1,458.75