Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Facility		$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.73 / $1,218.00 / $1,819.02	Professional		$815.73	$1,218.00	$1,819.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,140.20 / $1,140.20	Professional		$115.61	$1,140.20	$1,140.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $706.22 / $1,274.75	Facility		$163.57	$706.22	$1,274.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $117.89 / $1,178.88	Professional		$71.55	$117.89	$1,178.88
United Facility/Professional Professional Modifier Low / Median / High Price $550.59 / $688.37 / $1,088.40	Professional		$550.59	$688.37	$1,088.40