Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $82.88	Professional		$48.75	$48.75	$82.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $422.08	Professional		$207.00	$207.00	$422.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $51.19 / $104.81	Facility		$48.75	$51.19	$104.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34