Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.78 / $490.78 / $490.78	Facility		$490.78	$490.78	$490.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $490.78 / $937.77	Professional		$477.24	$490.78	$937.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $770.90	Facility		$407.96	$407.96	$770.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $420.20	Professional		$64.33	$407.96	$420.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.64 / $491.49 / $891.17	Facility		$327.64	$491.49	$891.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $97.96 / $103.12	Professional		$97.96	$97.96	$103.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $95.58 / $705.38	Professional		$49.08	$95.58	$705.38
United Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $469.22 / $799.34	Professional		$361.84	$469.22	$799.34