Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $67.42 / $81.75	Professional		$51.68	$67.42	$81.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $94.12	Professional		$49.22	$49.22	$94.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $45.57 / $96.41	Facility		$45.57	$45.57	$96.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $45.57 / $60.46	Professional		$43.98	$45.57	$60.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $1,500.00	Professional		$55.00	$78.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $16.22	Professional		$6.49	$16.22	$16.22