Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.31 / $494.31 / $494.31	Facility		$494.31	$494.31	$494.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.47 / $494.31 / $627.51	Professional		$389.47	$494.31	$627.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $407.81 / $407.81	Professional		$47.24	$407.81	$407.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $308.08 / $517.36	Facility		$57.76	$308.08	$517.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $63.07 / $63.07	Professional		$63.07	$63.07	$63.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $41.64 / $305.03	Professional		$30.50	$41.64	$305.03
United Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $267.89 / $441.66	Professional		$223.42	$267.89	$441.66