Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,244.36	Professional		$4,466.84	$4,466.84	$7,244.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $7,244.36	Facility		$1,621.81	$4,466.84	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,244.36	Professional		$4,466.84	$4,466.84	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $26,915.35 / $27,542.29	Professional		$16,982.44	$26,915.35	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $26,915.35 / $29,512.09	Facility		$11,748.98	$26,915.35	$29,512.09