Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $1,539.55 / $1,539.55	Professional		$755.88	$1,539.55	$1,539.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.60 / $840.60 / $840.60	Facility		$840.60	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $896.12	Professional		$613.64	$840.60	$896.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $405.35 / $405.35	Facility		$405.35	$405.35	$405.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.36 / $1,707.35 / $2,695.82	Professional		$1,368.36	$1,707.35	$2,695.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $405.35 / $840.60	Facility		$405.35	$405.35	$840.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $896.12 / $1,597.20	Professional		$613.64	$896.12	$1,597.20
United Facility/Professional Professional Modifier Low / Median / High Price $868.63 / $1,718.50 / $2,241.53	Professional		$868.63	$1,718.50	$2,241.53