Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $40.74	Professional		$19.95	$25.12	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $812.83 / $831.76	Facility		$95.50	$812.83	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $67.61	Professional		$57.54	$64.57	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $54.95	Facility		$21.88	$30.90	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $42.66	Professional		$19.95	$25.12	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,890.45	Professional		$30.20	$30.20	$3,890.45
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $100.00	Professional		$43.65	$46.77	$100.00