Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.10 / $308.10 / $308.10	Facility		$308.10	$308.10	$308.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.68 / $308.10 / $561.09	Professional		$296.68	$308.10	$561.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $464.91	Facility		$327.62	$327.62	$464.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $337.45	Professional		$38.27	$327.62	$337.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.59 / $281.16 / $508.40	Facility		$197.59	$281.16	$508.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $59.09 / $62.20	Professional		$59.09	$59.09	$62.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $57.75 / $426.19	Professional		$29.37	$57.75	$426.19
United Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $282.98 / $482.07	Professional		$227.15	$282.98	$482.07