Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.33 / $1,057.33 / $1,057.33	Facility		$1,057.33	$1,057.33	$1,057.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.86 / $1,057.33 / $1,579.37	Professional		$801.86	$1,057.33	$1,579.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $999.36 / $999.36	Professional		$109.71	$999.36	$999.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $627.00 / $1,176.07	Facility		$136.66	$627.00	$1,176.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $142.02 / $142.02	Professional		$134.91	$142.02	$142.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $102.35 / $767.64	Professional		$62.12	$102.35	$767.64
United Facility/Professional Professional Modifier Low / Median / High Price $478.09 / $573.16 / $944.95	Professional		$478.09	$573.16	$944.95