Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $45.01 / $48.27	Professional		$21.45	$45.01	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $46.05 / $55.12	Facility		$34.93	$46.05	$55.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $52.36 / $55.12	Professional		$42.19	$52.36	$55.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $85.44 / $107.48	Professional		$4.25	$85.44	$107.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $24.66 / $25.91	Professional		$23.96	$24.66	$25.91