Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $408.00 / $412.80	Professional		$384.00	$408.00	$412.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $433.44 / $522.24	Facility		$398.40	$433.44	$522.24
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 $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00