Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.57 / $309.57 / $309.57	Facility		$309.57	$309.57	$309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $309.57 / $535.55	Professional		$273.63	$309.57	$535.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $404.95	Facility		$332.93	$332.93	$404.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $332.93	Professional		$35.75	$332.93	$332.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $262.66 / $442.84	Facility		$172.10	$262.66	$442.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $54.20	Professional		$51.49	$51.49	$54.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $46.76 / $376.08	Professional		$28.03	$46.76	$376.08
United Facility/Professional Professional Modifier Low / Median / High Price $228.23 / $246.49 / $449.94	Professional		$228.23	$246.49	$449.94