Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $537.03	Professional		$190.55	$363.08	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,819.70	Facility		$912.01	$1,288.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $812.83	Facility		$323.59	$562.34	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $562.34	Professional		$269.15	$389.05	$562.34
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 $457.09 / $912.01 / $1,513.56	Professional		$457.09	$912.01	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $954.99	Professional		$676.08	$676.08	$954.99