Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,000.45 / $4,819.82	Professional		$3,855.86	$4,000.45	$4,819.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Professional		$4,819.82	$4,819.82	$4,819.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,096.85 / $4,819.82 / $5,456.40	Facility		$4,096.85	$4,819.82	$5,456.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.10 / $1,972.10 / $5,542.79	Professional		$1,972.10	$1,972.10	$5,542.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $7,595.42	Professional		$5,684.00	$5,684.00	$7,595.42