Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $104.69 / $690.00	Professional		$102.23	$104.69	$690.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $104.69 / $134.00	Facility		$60.75	$104.69	$134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00