Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $617.37 / $617.37	Facility		$617.37	$617.37	$617.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $652.75 / $949.45	Professional		$444.96	$652.75	$949.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $577.92 / $577.92	Professional		$59.64	$577.92	$577.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $523.07 / $949.45	Facility		$79.89	$523.07	$949.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $72.52 / $543.92	Professional		$49.70	$72.52	$543.92
United Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $476.26 / $1,018.83	Professional		$438.49	$476.26	$1,018.83