Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $144.54	Professional		$114.82	$120.23	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $104.71	Facility		$29.51	$61.66	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $125.89 / $173.78	Facility		$114.82	$125.89	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $123.03	Professional		$114.82	$120.23	$123.03
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54