Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $16.98	Professional		$10.96	$14.13	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $691.83 / $1,412.54	Facility		$144.54	$691.83	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $36.31	Professional		$30.90	$36.31	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Professional		$50.12	$50.12	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $26.30	Facility		$12.02	$14.79	$26.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $229.09	Professional		$19.95	$44.67	$229.09