Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $12.02	Professional		$7.94	$10.96	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $691.83 / $1,698.24	Facility		$144.54	$691.83	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $22.91	Professional		$19.50	$22.91	$22.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.02	Professional		$33.88	$33.88	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.22 / $18.62	Facility		$7.76	$11.22	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $14.13	Professional		$7.94	$10.96	$14.13
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 $14.13 / $26.92 / $229.09	Professional		$14.13	$26.92	$229.09