Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $177.94 / $206.02	Professional		$89.99	$177.94	$206.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $184.29 / $217.92	Facility		$138.07	$184.29	$217.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $207.02 / $228.82	Professional		$166.77	$207.02	$228.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $30.00 / $424.94	Professional		$4.25	$30.00	$424.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $103.46 / $108.72	Professional		$98.27	$103.46	$108.72