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 $1,573.38 / $2,559.90 / $4,060.19	Professional		$1,573.38	$2,559.90	$4,060.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $3,685.49 / $3,685.49	Professional		$192.51	$3,685.49	$3,685.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.40 / $2,559.00 / $4,060.19	Facility		$243.40	$2,559.00	$4,060.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $373.53 / $3,584.02	Professional		$212.63	$373.53	$3,584.02
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $290.12 / $2,175.92	Professional		$154.44	$290.12	$2,175.92