Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $125.89	Professional		$30.20	$50.12	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $81.28	Professional		$51.29	$61.66	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,089.30 / $5,128.61	Facility		$125.89	$2,089.30	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $95.50 / $173.78	Professional		$38.90	$95.50	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $70.79 / $102.33	Professional		$29.51	$70.79	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $95.50	Professional		$6.46	$6.46	$95.50