Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.75 / $389.75 / $389.75	Facility		$389.75	$389.75	$389.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.97 / $389.75 / $494.67	Professional		$260.97	$389.75	$494.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $219.78 / $332.59	Facility		$219.78	$219.78	$332.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $186.81 / $219.78	Professional		$35.88	$186.81	$219.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $260.97 / $368.36	Facility		$141.35	$260.97	$368.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $42.27 / $44.49	Professional		$42.26	$42.27	$44.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $33.36 / $320.58	Professional		$24.04	$33.36	$320.58
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $220.00 / $348.34	Professional		$157.47	$220.00	$348.34