Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,558.30 / $2,558.30 / $2,558.30	Professional		$2,558.30	$2,558.30	$2,558.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,196.32	Professional		$1,196.32	$1,196.32	$1,196.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $783.77 / $783.77	Facility		$783.77	$783.77	$783.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,837.15 / $2,889.91 / $4,479.71	Professional		$2,837.15	$2,889.91	$4,479.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $783.77 / $1,638.80	Facility		$783.77	$783.77	$1,638.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $2,256.13 / $3,499.76	Professional		$1,196.32	$2,256.13	$3,499.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,376.73 / $1,376.73	Facility		$1,203.23	$1,376.73	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.42 / $2,855.66 / $3,724.77	Professional		$1,443.42	$2,855.66	$3,724.77