Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $5,495.41	Facility		$3,981.07	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,466.84	Professional		$3,981.07	$3,981.07	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $5,495.41	Facility		$3,981.07	$4,466.84	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,466.84	Professional		$3,981.07	$3,981.07	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,691.53	Professional		$1,096.48	$1,819.70	$2,691.53