Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $153.00 / $154.80	Professional		$144.00	$153.00	$154.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $162.54 / $195.84	Facility		$149.40	$162.54	$195.84
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 $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00