Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $130.11 / $136.80	Professional		$109.44	$130.11	$136.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $109.44 / $109.44	Facility		$103.24	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.01 / $136.80 / $175.10	Facility		$116.01	$136.80	$175.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $116.00 / $136.80	Professional		$109.44	$116.00	$136.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $402.64	Professional		$30.00	$78.00	$402.64
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44