Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,365.16 / $15,488.17	Facility		$1,148.15	$4,365.16	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $14,454.40	Professional		$1,096.48	$3,715.35	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,748.98 / $20,417.38	Facility		$9,332.54	$11,748.98	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $6,025.60 / $16,218.10	Professional		$1,096.48	$6,025.60	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $12,882.50 / $25,703.96	Facility		$1,513.56	$12,882.50	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15