Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.26 / $151.26 / $151.26	Facility		$151.26	$151.26	$151.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $151.26 / $210.44	Professional		$91.92	$151.26	$210.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $181.96	Facility		$129.12	$129.12	$181.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $205.20	Professional		$109.75	$129.12	$205.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $111.30 / $203.92	Facility		$77.33	$111.30	$203.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $24.34	Professional		$23.12	$23.12	$24.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $17.34 / $155.86	Professional		$8.26	$17.34	$155.86
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $110.75 / $188.68	Professional		$80.33	$110.75	$188.68