Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $69.18	Professional		$64.57	$67.61	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $43.65	Facility		$23.99	$26.30	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $97.72	Facility		$64.57	$69.18	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $194.98 / $223.87	Professional		$67.61	$194.98	$223.87
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 $57.54 / $114.82 / $125.89	Professional		$57.54	$114.82	$125.89