Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $333.36 / $333.36	Facility		$333.36	$333.36	$333.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $333.36 / $478.79	Professional		$252.59	$333.36	$478.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Facility		$209.52	$209.52	$209.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $215.81	Professional		$31.65	$209.52	$215.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $242.26 / $447.70	Facility		$137.06	$242.26	$447.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $43.06	Professional		$40.90	$40.90	$43.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $32.29 / $310.32	Professional		$18.82	$32.29	$310.32
United Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $189.90 / $320.26	Professional		$175.43	$189.90	$320.26