Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,685.18 / $2,685.18 / $2,685.18	Professional		$2,685.18	$2,685.18	$2,685.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $1,755.11	Professional		$1,243.91	$1,703.99	$1,755.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $733.56 / $733.56	Facility		$733.56	$733.56	$733.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,163.75 / $2,977.84 / $4,701.85	Professional		$2,163.75	$2,977.84	$4,701.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $733.56 / $1,703.99	Facility		$733.56	$733.56	$1,703.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,669.10	Professional		$1,243.91	$1,703.99	$2,669.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.01 / $2,997.29 / $3,909.51	Professional		$1,515.01	$2,997.29	$3,909.51