Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.20 / $905.20 / $905.20	Facility		$905.20	$905.20	$905.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $905.20 / $1,351.92	Professional		$713.22	$905.20	$1,351.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $746.73 / $746.73	Professional		$85.92	$746.73	$746.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $564.19 / $951.48	Facility		$121.57	$564.19	$951.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $121.57 / $121.57	Professional		$115.49	$121.57	$121.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $87.61 / $876.15	Professional		$53.18	$87.61	$876.15
United Facility/Professional Professional Modifier Low / Median / High Price $409.27 / $511.68 / $809.02	Professional		$409.27	$511.68	$809.02