Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.08 / $2,736.08 / $2,736.08	Facility		$2,736.08	$2,736.08	$2,736.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,524.29 / $2,736.08 / $4,761.74	Professional		$2,524.29	$2,736.08	$4,761.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $2,290.69	Facility		$2,290.69	$2,290.69	$2,290.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $2,290.69 / $2,359.42	Professional		$268.08	$2,290.69	$2,359.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.88 / $3,175.81 / $4,761.74	Facility		$335.88	$3,175.81	$4,761.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $262.37 / $1,967.84	Professional		$164.15	$262.37	$1,967.84
United Facility/Professional Facility Modifier Low / Median / High Price $218.70 / $332.48 / $2,216.53	Facility		$218.70	$332.48	$2,216.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,899.88 / $2,829.98	Professional		$1,385.32	$1,899.88	$2,829.98