Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.08 / $1,121.08 / $1,121.08	Facility		$1,121.08	$1,121.08	$1,121.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.78 / $1,121.08 / $1,700.15	Professional		$762.78	$1,121.08	$1,700.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $881.10	Professional		$109.87	$881.10	$881.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.07 / $847.95 / $1,623.60	Facility		$628.07	$847.95	$1,623.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $139.79 / $139.79	Professional		$132.80	$139.79	$139.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $104.84 / $168.76	Professional		$66.73	$104.84	$168.76
United Facility/Professional Professional Modifier Low / Median / High Price $665.57 / $797.86 / $1,423.88	Professional		$665.57	$797.86	$1,423.88