Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $133.05 / $133.05	Facility		$133.05	$133.05	$133.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $133.05 / $200.03	Professional		$89.52	$133.05	$200.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $185.89	Facility		$110.00	$110.00	$185.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $93.50 / $110.00	Professional		$13.15	$93.50	$110.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $108.91 / $202.88	Facility		$79.00	$108.91	$202.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $23.62 / $24.86	Professional		$23.62	$23.62	$24.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.93 / $152.76	Professional		$10.47	$15.93	$152.76
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $113.14 / $206.54	Professional		$73.62	$113.14	$206.54