Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $219.99 / $219.99	Facility		$219.99	$219.99	$219.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $219.99 / $289.94	Professional		$146.86	$219.99	$289.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $182.57	Facility		$174.27	$174.27	$182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $174.27	Professional		$19.86	$174.27	$174.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $128.25 / $221.68	Facility		$77.59	$128.25	$221.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $26.96 / $28.38	Professional		$26.96	$26.96	$28.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $25.65 / $203.31	Professional		$11.39	$25.65	$203.31
United Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $116.71 / $202.85	Professional		$111.13	$116.71	$202.85