Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $115.26 / $123.61	Professional		$58.29	$115.26	$123.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $118.24 / $141.16	Facility		$83.62	$118.24	$141.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $141.16 / $148.22	Professional		$108.02	$141.16	$148.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $218.80 / $275.26	Professional		$30.00	$218.80	$275.26
United Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $67.01 / $70.42	Professional		$65.11	$67.01	$70.42