Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.38 / $1,417.38 / $1,417.38	Facility		$1,417.38	$1,417.38	$1,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.38 / $3,128.00 / $3,164.80	Professional		$1,417.38	$3,128.00	$3,164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $3,164.80 / $4,003.84	Facility		$530.00	$3,164.80	$4,003.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00