Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $85.96 / $86.97	Professional		$80.90	$85.96	$86.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $92.59 / $111.32	Facility		$85.96	$92.59	$111.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $102.32 / $102.32	Professional		$102.32	$102.32	$102.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47