Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.38 / $1,573.38 / $1,573.38	Facility		$1,573.38	$1,573.38	$1,573.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.36 / $2,208.59 / $3,491.10	Professional		$1,335.36	$2,208.59	$3,491.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $257.83 / $303.33	Professional		$192.51	$257.83	$303.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.58 / $1,898.10 / $3,491.10	Facility		$355.58	$1,898.10	$3,491.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $296.66 / $2,845.35	Professional		$182.55	$296.66	$2,845.35
United Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $209.86 / $2,273.51	Professional		$129.71	$209.86	$2,273.51