Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.40 / $429.40 / $429.40	Facility		$429.40	$429.40	$429.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.68 / $581.61 / $873.00	Professional		$385.68	$581.61	$873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $370.80	Professional		$57.24	$370.80	$370.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $420.55 / $862.95	Facility		$74.75	$420.55	$862.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $34.27 / $64.80	Professional		$4.65	$34.27	$64.80
United Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $340.65 / $728.66	Professional		$316.58	$340.65	$728.66