Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $190.55	Professional		$30.20	$50.12	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $162.18	Professional		$100.00	$123.03	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,089.30 / $5,128.61	Facility		$190.55	$2,089.30	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $154.88 / $257.04	Professional		$38.90	$154.88	$257.04
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 $58.88 / $141.25 / $204.17	Professional		$58.88	$141.25	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $190.55	Professional		$12.88	$12.88	$190.55