Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $915.68 / $915.68	Professional		$500.00	$915.68	$915.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.81 / $915.68 / $1,172.07	Facility		$434.81	$915.68	$1,172.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $358.06 / $358.06	Professional		$358.06	$358.06	$358.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,220.91	Professional		$872.08	$872.08	$1,220.91