Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $191.30 / $197.98	Professional		$93.36	$191.30	$197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.25 / $191.20 / $231.66	Facility		$143.25	$191.20	$231.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $214.80 / $237.41	Professional		$173.02	$214.80	$237.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $440.90	Professional		$30.00	$45.00	$440.90
United Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $107.34 / $112.80	Professional		$104.29	$107.34	$112.80