Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,983.20 / $5,983.20 / $5,983.20	Professional		$5,983.20	$5,983.20	$5,983.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $3,638.31	Professional		$2,578.61	$3,532.34	$3,638.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.07 / $1,474.07 / $1,474.07	Facility		$1,474.07	$1,474.07	$1,474.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,421.93 / $6,491.07 / $10,249.07	Professional		$5,421.93	$6,491.07	$10,249.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.07 / $1,474.07 / $3,532.34	Facility		$1,474.07	$1,474.07	$3,532.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,638.31 / $5,808.38	Professional		$2,578.61	$3,638.31	$5,808.38
United Facility/Professional Professional Modifier Low / Median / High Price $3,408.77 / $3,408.77 / $6,533.47	Professional		$3,408.77	$3,408.77	$6,533.47