Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $58.88	Facility		$28.18	$37.15	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $158.49	Facility		$104.71	$112.20	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10