Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $4,168.24 / $4,168.24	Facility		$4,168.24	$4,168.24	$4,168.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.24 / $6,495.92 / $12,313.16	Professional		$4,168.24	$6,495.92	$12,313.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $3,704.40	Facility		$3,704.40	$3,704.40	$3,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,704.40 / $3,815.53	Professional		$782.55	$3,704.40	$3,815.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $6,883.73 / $11,592.79	Facility		$4,168.24	$6,883.73	$11,592.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $1,051.88 / $1,107.24	Professional		$1,051.88	$1,051.88	$1,107.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.18 / $531.99 / $3,989.96	Professional		$332.18	$531.99	$3,989.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,894.20 / $3,130.20 / $6,129.80	Professional		$2,894.20	$3,130.20	$6,129.80