Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $158.60 / $158.60	Facility		$158.60	$158.60	$158.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $158.60 / $226.06	Professional		$116.04	$158.60	$226.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $162.10	Facility		$112.73	$112.73	$162.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $112.73 / $116.11	Professional		$15.59	$112.73	$116.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $116.04 / $177.26	Facility		$70.06	$116.04	$177.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $25.18 / $25.18	Professional		$23.92	$25.18	$25.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $17.21 / $164.86	Professional		$11.84	$17.21	$164.86
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $100.34 / $195.01	Professional		$84.23	$100.34	$195.01