Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.75 / $1,941.75 / $1,941.75	Professional		$1,941.75	$1,941.75	$1,941.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $1,623.95	Professional		$1,150.95	$1,576.65	$1,623.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $604.26 / $604.26	Facility		$604.26	$604.26	$604.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.96 / $2,106.58 / $3,326.18	Professional		$2,053.96	$2,106.58	$3,326.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $604.26 / $1,576.65	Facility		$604.26	$604.26	$1,576.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,603.50 / $2,319.85	Professional		$1,150.95	$1,603.50	$2,319.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.74 / $1,106.26 / $2,120.32	Professional		$1,071.74	$1,106.26	$2,120.32