Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $4,816.16 / $4,816.16	Facility		$4,816.16	$4,816.16	$4,816.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,816.16 / $7,505.68 / $14,227.18	Professional		$4,816.16	$7,505.68	$14,227.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $4,343.04 / $5,109.46	Professional		$904.20	$4,343.04	$5,109.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $7,953.78 / $13,394.81	Facility		$4,816.16	$7,953.78	$13,394.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.38 / $1,215.38 / $1,279.34	Professional		$1,215.38	$1,215.38	$1,279.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $383.81 / $629.44 / $6,146.90	Professional		$383.81	$629.44	$6,146.90
United Facility/Professional Professional Modifier Low / Median / High Price $3,344.04 / $3,616.80 / $5,726.60	Professional		$3,344.04	$3,616.80	$5,726.60