Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Facility		$1,165.39	$1,165.39	$1,165.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,289.81 / $1,465.70	Professional		$1,165.39	$1,289.81	$1,465.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,172.56 / $1,172.56	Facility		$1,106.19	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,465.70 / $1,876.10	Facility		$221.14	$1,465.70	$1,876.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,289.82 / $1,465.70	Professional		$1,172.56	$1,289.82	$1,465.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,325.38	Professional		$30.00	$78.00	$2,325.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56