Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,249.19 / $2,249.19	Facility		$2,249.19	$2,249.19	$2,249.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,249.19 / $2,325.91 / $4,402.07	Professional		$2,249.19	$2,325.91	$4,402.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $2,669.76	Professional		$267.95	$2,592.00	$2,669.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.89 / $2,560.82 / $4,402.07	Facility		$333.89	$2,560.82	$4,402.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $230.45 / $1,734.26	Professional		$99.92	$230.45	$1,734.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,561.76 / $3,157.60	Professional		$1,277.72	$1,561.76	$3,157.60