Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $237.90 / $237.90	Facility		$237.90	$237.90	$237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $258.76 / $358.93	Professional		$216.16	$258.76	$358.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $358.93 / $513.27	Facility		$216.16	$358.93	$513.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $480.00	Professional		$300.00	$300.00	$480.00