Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $103.97 / $121.97	Professional		$44.44	$103.97	$121.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $106.35 / $127.33	Facility		$75.00	$106.35	$127.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $120.96 / $127.33	Professional		$97.45	$120.96	$127.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $197.36 / $248.29	Professional		$12.75	$197.36	$248.29
United Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $51.45 / $53.69	Professional		$49.64	$51.45	$53.69