Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,383.18 / $10,383.18 / $10,383.18	Professional		$10,383.18	$10,383.18	$10,383.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $4,870.83	Professional		$3,452.14	$4,728.96	$4,870.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.27 / $1,968.27 / $1,968.27	Facility		$1,968.27	$1,968.27	$1,968.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,740.89 / $11,264.55 / $17,786.13	Professional		$7,740.89	$11,264.55	$17,786.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,968.27 / $1,968.27 / $4,728.96	Facility		$1,968.27	$1,968.27	$4,728.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,870.83 / $7,755.69	Professional		$3,452.14	$4,870.83	$7,755.69
United Facility/Professional Professional Modifier Low / Median / High Price $5,730.95 / $5,915.53 / $11,338.10	Professional		$5,730.95	$5,915.53	$11,338.10