Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.76 / $1,779.76 / $1,779.76	Professional		$1,779.76	$1,779.76	$1,779.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $1,197.56	Professional		$988.28	$1,162.68	$1,197.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $599.29	Facility		$599.29	$599.29	$599.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.84 / $1,930.84 / $3,048.69	Professional		$1,930.84	$1,930.84	$3,048.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $1,162.68	Facility		$599.29	$599.29	$1,162.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,197.56 / $2,381.78	Professional		$988.28	$1,197.56	$2,381.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.97 / $1,013.97 / $1,943.44	Professional		$1,013.97	$1,013.97	$1,943.44