Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $380.06 / $380.06	Facility		$380.06	$380.06	$380.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.42 / $380.06 / $567.55	Professional		$299.42	$380.06	$567.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $328.63	Facility		$172.77	$172.77	$328.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $177.95	Professional		$36.07	$172.77	$177.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $295.99 / $422.65	Facility		$139.66	$295.99	$422.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $48.49 / $51.04	Professional		$48.49	$48.49	$51.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $51.04 / $367.81	Professional		$27.58	$51.04	$367.81
United Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $214.81 / $365.14	Professional		$200.03	$214.81	$365.14