Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,269.90 / $1,284.83	Professional		$1,195.20	$1,269.90	$1,284.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,284.83 / $1,625.47	Facility		$291.27	$1,284.83	$1,625.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,245.00	Professional		$1,245.00	$1,245.00	$1,245.00