Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Facility		$1,400.00	$1,400.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,204.00 / $1,400.00	Professional		$1,120.00	$1,204.00	$1,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,260.00 / $1,721.72	Facility		$1,190.00	$1,260.00	$1,721.72
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 $1,400.00 / $1,400.00 / $2,240.00	Professional		$1,400.00	$1,400.00	$2,240.00