Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,495.41 / $5,495.41	Facility		$1,202.26	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,623.41	Facility		$1,819.70	$3,630.78	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $4,466.84	Facility		$1,202.26	$1,318.26	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Professional		$1,202.26	$1,202.26	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54