Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $25.75	Facility		$1.25	$1.25	$25.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $1.25	Professional		$0.02	$0.03	$1.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03