Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $6,836.80 / $6,836.80	Facility		$6,836.80	$6,836.80	$6,836.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,836.80 / $10,654.88 / $20,196.56	Professional		$6,836.80	$10,654.88	$20,196.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,155.72	Facility		$11,155.72	$11,155.72	$11,155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $9,482.36 / $11,155.72	Professional		$1,283.58	$9,482.36	$11,155.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $11,290.99 / $19,014.93	Facility		$6,836.80	$11,290.99	$19,014.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.33 / $1,725.33 / $1,816.14	Professional		$1,725.33	$1,725.33	$1,816.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $544.85 / $893.53 / $6,544.47	Professional		$544.85	$893.53	$6,544.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,747.08 / $5,134.32 / $9,734.10	Professional		$4,747.08	$5,134.32	$9,734.10