Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,415.46 / $2,415.46 / $2,415.46	Professional		$2,415.46	$2,415.46	$2,415.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $1,668.60	Professional		$1,182.59	$1,620.00	$1,668.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $672.36 / $672.36	Facility		$672.36	$672.36	$672.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.22 / $2,620.50 / $4,137.63	Professional		$1,983.22	$2,620.50	$4,137.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $672.36 / $1,620.00	Facility		$672.36	$672.36	$1,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,446.40	Professional		$1,182.59	$1,620.00	$2,446.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.20 / $1,376.14 / $2,637.61	Professional		$1,333.20	$1,376.14	$2,637.61