Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $162.50 / $162.50	Facility		$162.50	$162.50	$162.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $138.13 / $162.50	Professional		$130.00	$138.13	$162.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $148.13 / $199.84	Facility		$138.13	$148.13	$199.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $155.30 / $155.30	Professional		$111.12	$155.30	$155.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96