Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $143.10 / $143.10	Facility		$143.10	$143.10	$143.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $256.02 / $570.23	Professional		$143.10	$256.02	$570.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $226.15 / $570.23	Facility		$14.31	$226.15	$570.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $46.93	Professional		$46.93	$46.93	$46.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.40 / $391.53	Professional		$30.00	$45.40	$391.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $18.25 / $34.34	Professional		$15.45	$18.25	$34.34