Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $507.49 / $576.69	Professional		$330.31	$507.49	$576.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $461.36 / $461.36	Facility		$435.24	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $576.69 / $738.16	Facility		$330.31	$576.69	$738.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $470.59 / $576.70	Professional		$461.36	$470.59	$576.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $978.02	Professional		$30.00	$78.00	$978.02
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36