Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,749.42 / $3,749.42 / $3,749.42	Professional		$3,749.42	$3,749.42	$3,749.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $2,871.59	Professional		$1,787.62	$2,448.80	$2,871.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $1,262.19 / $1,262.19	Facility		$1,262.19	$1,262.19	$1,262.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,067.68 / $4,067.68 / $6,422.66	Professional		$4,067.68	$4,067.68	$6,422.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $1,262.19 / $2,448.80	Facility		$1,262.19	$1,262.19	$2,448.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,871.59 / $4,221.32	Professional		$1,787.62	$2,871.59	$4,221.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.48 / $2,136.13 / $4,094.25	Professional		$2,069.48	$2,136.13	$4,094.25