Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.85 / $1,149.85 / $1,149.85	Facility		$1,149.85	$1,149.85	$1,149.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.97 / $1,149.85 / $1,717.29	Professional		$905.97	$1,149.85	$1,717.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $707.88	Professional		$109.53	$707.88	$707.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $716.67 / $1,278.73	Facility		$154.41	$716.67	$1,278.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $113.96 / $834.67	Professional		$67.55	$113.96	$834.67
United Facility/Professional Professional Modifier Low / Median / High Price $519.76 / $622.99 / $1,027.45	Professional		$519.76	$622.99	$1,027.45