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 $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
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 $5,623.41 / $8,912.51 / $9,120.11	Professional		$5,623.41	$8,912.51	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $16,982.44 / $18,197.01	Facility		$9,332.54	$16,982.44	$18,197.01