Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $103.20 / $115.40	Professional		$50.13	$103.20	$115.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $107.60 / $131.79	Facility		$78.06	$107.60	$131.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $125.20 / $131.79	Professional		$100.85	$125.20	$131.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $204.27 / $256.99	Professional		$42.50	$204.27	$256.99
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $57.64 / $60.57	Professional		$56.00	$57.64	$60.57