Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $507.18 / $861.52	Facility		$132.19	$507.18	$861.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $110.17 / $382.56	Professional		$106.31	$110.17	$382.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $116.23 / $199.44	Facility		$108.89	$116.23	$199.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $93.01 / $3,900.00	Professional		$30.00	$93.01	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $720.93	Professional		$450.58	$450.58	$720.93