Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $183.77 / $183.77	Facility		$183.77	$183.77	$183.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $182.86 / $183.77	Professional		$174.26	$182.86	$183.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.88 / $182.86 / $261.49	Facility		$35.88	$182.86	$261.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00