Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $139.38 / $162.08	Professional		$129.66	$139.38	$162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $146.36 / $178.42	Facility		$134.52	$146.36	$178.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $316.06	Professional		$30.00	$78.00	$316.06
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08