Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,235.94 / $8,317.64	Facility		$870.96	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,454.71 / $7,413.10	Professional		$724.44	$2,454.71	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,570.40 / $6,918.31	Facility		$724.44	$2,570.40	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $6,025.60 / $13,803.84	Professional		$724.44	$6,025.60	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93