Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $762.88 / $771.85	Professional		$718.00	$762.88	$771.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.81 / $771.85 / $976.49	Facility		$434.81	$771.85	$976.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $358.06 / $358.06	Professional		$358.06	$358.06	$358.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,796.50	Professional		$1,997.50	$1,997.50	$2,796.50