Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Facility		$80.59	$80.59	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $95.21 / $171.07	Professional		$80.59	$95.21	$171.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Facility		$88.70	$88.70	$88.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $75.40 / $88.70	Professional		$10.41	$75.40	$88.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $90.66 / $171.07	Facility		$24.43	$90.66	$171.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $13.94 / $133.65	Professional		$6.72	$13.94	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $21.07 / $105.82	Professional		$7.12	$21.07	$105.82