Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $233.06 / $247.63	Professional		$110.53	$233.06	$247.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $223.58 / $267.69	Facility		$158.57	$223.58	$267.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.86 / $254.31 / $281.07	Professional		$204.86	$254.31	$281.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $186.58 / $522.00	Professional		$30.00	$186.58	$522.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $127.09 / $133.55	Professional		$123.48	$127.09	$133.55