Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.37 / $827.37 / $827.37	Facility		$827.37	$827.37	$827.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.16 / $827.37 / $1,050.42	Professional		$554.16	$827.37	$1,050.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $1,088.94	Facility		$458.33	$458.33	$1,088.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $458.32 / $472.08	Professional		$75.66	$458.32	$472.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.85 / $565.13 / $1,050.42	Facility		$300.85	$565.13	$1,050.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $138.44 / $145.74	Professional		$89.74	$138.44	$145.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $70.84 / $680.80	Professional		$51.06	$70.84	$680.80
United Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $594.13 / $2,117.12	Professional		$470.76	$594.13	$2,117.12