Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.29 / $929.29 / $929.29	Facility		$929.29	$929.29	$929.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.18 / $929.29 / $1,387.86	Professional		$732.18	$929.29	$1,387.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $651.64 / $766.64	Professional		$85.66	$651.64	$766.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $579.17 / $972.59	Facility		$124.81	$579.17	$972.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $124.81 / $124.81	Professional		$118.57	$124.81	$124.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $89.94 / $674.60	Professional		$54.59	$89.94	$674.60
United Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $503.55 / $830.25	Professional		$420.09	$503.55	$830.25