Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Professional		$75.84	$75.84	$75.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $80.40 / $108.47	Facility		$75.84	$80.40	$108.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $89.24 / $94.35	Professional		$84.04	$89.24	$94.35