Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $72.44	Professional		$45.71	$52.48	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $812.83 / $831.76	Facility		$204.17	$812.83	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $123.03	Professional		$104.71	$117.49	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $114.82	Facility		$50.12	$67.61	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $72.44	Professional		$45.71	$54.95	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,754.23	Professional		$30.20	$30.20	$2,754.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $213.80	Professional		$100.00	$104.71	$213.80