Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.98 / $182.98 / $182.98	Facility		$182.98	$182.98	$182.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $182.98 / $259.83	Professional		$134.19	$182.98	$259.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $219.07	Facility		$123.98	$123.98	$219.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $127.70	Professional		$17.16	$123.98	$127.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $138.21 / $239.56	Facility		$93.11	$138.21	$239.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $27.83 / $29.29	Professional		$27.83	$27.83	$29.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $19.80 / $189.81	Professional		$13.60	$19.80	$189.81
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $133.34 / $227.15	Professional		$97.01	$133.34	$227.15