Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Facility		$258.39	$258.39	$258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $258.39	Professional		$247.40	$247.40	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $464.40	Professional		$145.21	$170.83	$464.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $247.40 / $258.39	Facility		$243.71	$247.40	$258.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00