Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $257.04	Professional		$117.49	$141.25	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $691.83 / $1,698.24	Facility		$398.11	$691.83	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $309.03	Facility		$123.03	$165.96	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $257.04	Professional		$123.03	$141.25	$257.04
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 $173.78 / $2,041.74 / $4,265.80	Professional		$173.78	$2,041.74	$4,265.80