Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $121.56 / $121.56	Facility		$121.56	$121.56	$121.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $122.42 / $122.42	Professional		$99.10	$122.42	$122.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $156.69	Facility		$122.42	$122.42	$156.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Professional		$89.92	$89.92	$89.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00