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 $474.24 / $617.37 / $1,073.66	Professional		$474.24	$617.37	$1,073.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $568.02	Professional		$59.58	$568.02	$568.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $573.50 / $1,073.66	Facility		$109.55	$573.50	$1,073.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $88.60 / $664.58	Professional		$42.16	$88.60	$664.58
United Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $555.08 / $1,187.28	Professional		$511.68	$555.08	$1,187.28