Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $126.37 / $145.99	Professional		$54.99	$126.37	$145.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $136.13 / $166.73	Facility		$94.69	$136.13	$166.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $158.38 / $175.07	Professional		$127.59	$158.38	$175.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $258.43 / $325.12	Professional		$30.00	$258.43	$325.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $63.22 / $79.90	Professional		$61.43	$63.22	$79.90