Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.64 / $291.64 / $291.64	Facility		$291.64	$291.64	$291.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $291.64 / $435.48	Professional		$229.74	$291.64	$435.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $226.80 / $240.50	Professional		$26.88	$226.80	$240.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $181.74 / $324.25	Facility		$39.15	$181.74	$324.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $39.15 / $39.15	Professional		$37.20	$39.15	$39.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $39.15 / $282.21	Professional		$21.16	$39.15	$282.21
United Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $153.68 / $260.91	Professional		$131.72	$153.68	$260.91