Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,224.00 / $1,238.40	Professional		$1,152.00	$1,224.00	$1,238.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,238.40 / $1,566.72	Facility		$386.49	$1,238.40	$1,566.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $753.66	Professional		$30.00	$78.00	$753.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,680.00	Professional		$1,200.00	$1,200.00	$1,680.00