Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,861.12 / $2,861.12 / $2,861.12	Facility		$2,861.12	$2,861.12	$2,861.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,861.12 / $3,085.02 / $5,847.72	Professional		$2,861.12	$3,085.02	$5,847.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $3,349.85 / $3,349.85	Professional		$356.67	$3,349.85	$3,349.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,861.12 / $3,448.96 / $5,847.72	Facility		$2,861.12	$3,448.96	$5,847.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $453.81 / $453.81	Professional		$431.12	$453.81	$453.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $290.97 / $2,182.33	Professional		$136.13	$290.97	$2,182.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.32 / $1,986.72 / $4,124.00	Professional		$1,741.32	$1,986.72	$4,124.00