Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.34 / $427.34 / $427.34	Facility		$427.34	$427.34	$427.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $427.34 / $573.66	Professional		$293.66	$427.34	$573.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $286.20	Professional		$202.73	$238.50	$286.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $249.72 / $451.97	Facility		$166.91	$249.72	$451.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $49.11 / $414.53	Professional		$30.02	$49.11	$414.53
United Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $179.92 / $339.04	Facility		$27.88	$179.92	$339.04
United Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $205.25 / $269.83	Professional		$170.42	$205.25	$269.83