Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $67.93 / $75.28	Professional		$33.29	$67.93	$75.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $69.48 / $83.21	Facility		$52.70	$69.48	$83.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $79.05 / $87.37	Professional		$63.67	$79.05	$87.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $128.97 / $162.26	Professional		$30.00	$128.97	$162.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $38.29 / $40.24	Professional		$37.20	$38.29	$40.24