Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.68 / $355.68 / $355.68	Facility		$355.68	$355.68	$355.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $355.68 / $590.45	Professional		$208.71	$355.68	$590.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $441.23	Facility		$310.87	$310.87	$441.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $378.06	Professional		$264.24	$310.87	$378.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.05 / $319.27 / $648.02	Facility		$225.05	$319.27	$648.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.35 / $415.20 / $459.93	Professional		$393.35	$415.20	$459.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $452.46 / $464.39	Professional		$45.24	$452.46	$464.39
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $298.91 / $545.65	Professional		$230.56	$298.91	$545.65