Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.28 / $136.28 / $136.28	Facility		$136.28	$136.28	$136.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $136.28 / $211.33	Professional		$104.39	$136.28	$211.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $160.80	Facility		$64.17	$64.17	$160.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $66.09	Professional		$13.43	$64.17	$66.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $107.50 / $175.84	Facility		$69.50	$107.50	$175.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $21.50 / $21.50	Professional		$20.43	$21.50	$21.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $18.42 / $143.83	Professional		$10.78	$18.42	$143.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.53 / $312.61	Professional		$72.31	$99.53	$312.61