Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,755.55 / $2,755.55 / $2,755.55	Facility		$2,755.55	$2,755.55	$2,755.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.15 / $2,755.55 / $3,484.25	Professional		$1,838.15	$2,755.55	$3,484.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $1,850.09	Facility		$1,850.09	$1,850.09	$1,850.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $1,572.58 / $1,850.09	Professional		$249.23	$1,572.58	$1,850.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.29 / $1,943.93 / $3,290.87	Facility		$1,196.29	$1,943.93	$3,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $454.03 / $477.94	Professional		$298.85	$454.03	$477.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $314.58 / $2,267.20	Professional		$170.04	$314.58	$2,267.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.14 / $1,873.91 / $3,420.77	Professional		$1,555.14	$1,873.91	$3,420.77