Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $87.91 / $87.91	Facility		$87.91	$87.91	$87.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $75.59 / $87.91	Professional		$70.33	$75.59	$87.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $75.59 / $108.11	Facility		$74.72	$75.59	$108.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $133.62	Professional		$83.51	$83.51	$133.62