Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.97 / $1,574.18 / $4,489.60	Facility		$940.97	$1,574.18	$4,489.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.38 / $798.38 / $798.38	Professional		$798.38	$798.38	$798.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $798.38 / $2,315.30	Facility		$798.38	$798.38	$2,315.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $798.38 / $2,315.30	Facility		$798.38	$798.38	$2,315.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $1,800,000.00	Professional		$291.51	$291.51	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.90 / $1,503.90 / $1,503.90	Professional		$1,503.90	$1,503.90	$1,503.90