Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.48 / $234.48 / $234.48	Facility		$234.48	$234.48	$234.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $404.13 / $404.13	Professional		$234.48	$404.13	$404.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $412.21	Facility		$404.13	$404.13	$412.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00