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 $64.57 / $64.57 / $1,230.27	Professional		$64.57	$64.57	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $20,892.96	Professional		$10,000.00	$10,000.00	$20,892.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,621.81 / $7,244.36	Facility		$64.57	$1,621.81	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $14,125.38 / $16,595.87	Professional		$645.65	$14,125.38	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $33,113.11	Professional		$870.96	$870.96	$33,113.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $11,748.98 / $29,512.09	Facility		$2,570.40	$11,748.98	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Professional		$1,412.54	$1,412.54	$2,089.30