Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Facility		$15.90	$15.90	$15.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $15.90	Professional		$10.43	$10.68	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $17.29	Professional		$16.14	$16.14	$17.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $11.21 / $13.67	Facility		$9.03	$11.21	$13.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $11.05 / $11.05	Professional		$10.99	$11.05	$11.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $17.22	Professional		$12.57	$12.57	$17.22