Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $4,168.69	Facility		$1,174.90	$2,570.40	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $26.92 / $26.92	Professional		$8.13	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,071.52	Facility		$707.95	$954.99	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,238.72	Facility		$1,202.26	$1,202.26	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,137.96	Professional		$1,202.26	$1,202.26	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $2,951.21	Facility		$1,202.26	$1,318.26	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $446.68	Professional		$354.81	$354.81	$446.68