Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $67.26 / $67.26	Facility		$67.26	$67.26	$67.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $67.26 / $104.41	Professional		$44.92	$67.26	$104.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $105.69	Facility		$57.45	$57.45	$105.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $57.45 / $107.15	Professional		$48.83	$57.45	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $61.79 / $120.20	Facility		$45.15	$61.79	$120.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $78.77 / $79.09	Professional		$12.86	$78.77	$79.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $83.90 / $86.11	Professional		$8.38	$83.90	$86.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $64.33 / $99.82	Professional		$43.33	$64.33	$99.82