Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.10 / $521.10 / $521.10	Facility		$521.10	$521.10	$521.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $1,061.34 / $2,116.96	Professional		$521.10	$1,061.34	$2,116.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.64 / $883.46 / $2,116.96	Facility		$171.64	$883.46	$2,116.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $190.36 / $190.36	Professional		$180.84	$190.36	$190.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $167.31 / $1,028.95	Professional		$102.89	$167.31	$1,028.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $80.72 / $870.73	Professional		$74.63	$80.72	$870.73