Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,929.00 / $2,929.00 / $2,929.00	Facility		$2,929.00	$2,929.00	$2,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $137.47 / $2,929.00	Professional		$26.18	$137.47	$2,929.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $137.47 / $175.96	Facility		$137.47	$137.47	$175.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00