Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,675.00	Facility		$1,675.00	$1,675.00	$1,675.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,440.50 / $1,675.00	Professional		$1,340.00	$1,440.50	$1,675.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,507.50 / $2,059.92	Facility		$1,423.75	$1,507.50	$2,059.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,345.00	Professional		$1,675.00	$1,675.00	$2,345.00