Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $105.33 / $112.96	Professional		$53.27	$105.33	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $108.05 / $129.00	Facility		$81.73	$108.05	$129.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $122.55 / $135.44	Professional		$96.94	$122.55	$135.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $199.95 / $251.55	Professional		$30.00	$199.95	$251.55
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $61.67 / $64.36	Professional		$59.50	$61.67	$64.36