Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $143.10 / $143.10	Facility		$143.10	$143.10	$143.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $143.10 / $289.81	Professional		$126.42	$143.10	$289.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $143.10 / $289.81	Facility		$14.31	$143.10	$289.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $45.00 / $56.25	Professional		$21.30	$45.00	$56.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $27.85 / $230.65	Professional		$22.25	$27.85	$230.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.66 / $32.07	Professional		$11.78	$17.66	$32.07