Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Facility		$131.83	$131.83	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $141.25	Professional		$109.65	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $154.88	Facility		$109.65	$141.25	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $141.25	Professional		$109.65	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00