Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $70.79	Facility		$28.18	$38.02	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $102.33	Professional		$35.48	$38.90	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $67.61 / $95.50	Facility		$11.75	$67.61	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $67.61 / $67.61	Professional		$28.84	$67.61	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $125.89	Professional		$75.86	$89.13	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $79.43	Professional		$74.13	$79.43	$79.43