Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $152.28 / $152.28	Facility		$152.28	$152.28	$152.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $167.23	Professional		$118.61	$118.61	$167.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $151.82	Facility		$118.61	$118.61	$151.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00