Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $896.80 / $896.80	Facility		$896.80	$896.80	$896.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.32 / $896.80 / $1,479.17	Professional		$640.32	$896.80	$1,479.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $752.61 / $1,479.17	Facility		$89.68	$752.61	$1,479.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $92.08 / $92.08	Professional		$92.08	$92.08	$92.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $148.03 / $1,292.54	Professional		$30.00	$148.03	$1,292.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $103.99 / $194.48	Professional		$60.85	$103.99	$194.48