Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.98 / $1,862.98 / $1,862.98	Facility		$1,862.98	$1,862.98	$1,862.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.74 / $1,862.98 / $2,365.12	Professional		$1,247.74	$1,862.98	$2,365.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,361.88 / $1,361.88 / $1,589.52	Facility		$1,361.88	$1,361.88	$1,589.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,361.80 / $1,743.98	Professional		$169.88	$1,361.80	$1,743.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.77 / $1,322.23 / $2,126.80	Facility		$808.77	$1,322.23	$2,126.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $202.05 / $212.68	Professional		$202.04	$202.05	$212.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $212.68 / $1,532.82	Professional		$114.96	$212.68	$1,532.82
United Facility/Professional Professional Modifier Low / Median / High Price $967.49 / $1,057.80 / $1,674.85	Professional		$967.49	$1,057.80	$1,674.85