Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.76 / $552.76 / $552.76	Facility		$552.76	$552.76	$552.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.65 / $552.76 / $679.83	Professional		$358.65	$552.76	$679.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $480.62	Facility		$283.73	$283.73	$480.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $292.24	Professional		$47.85	$283.73	$292.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.54 / $379.35 / $608.90	Facility		$244.54	$379.35	$608.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $61.11 / $64.33	Professional		$60.89	$61.11	$64.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $46.96 / $449.88	Professional		$26.69	$46.96	$449.88
United Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $303.48 / $498.36	Professional		$292.54	$303.48	$498.36