Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.70 / $293.70 / $293.70	Facility		$293.70	$293.70	$293.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $325.42 / $586.11	Professional		$293.70	$325.42	$586.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $382.81	Professional		$40.29	$382.81	$382.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $276.77 / $471.19	Facility		$51.12	$276.77	$471.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $31.27 / $43.52	Professional		$3.13	$31.27	$43.52
United Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $237.52 / $438.05	Professional		$216.54	$237.52	$438.05