Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Professional		$371.54	$562.34	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $2,089.30	Facility		$112.20	$141.25	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $1,348.96	Professional		$128.82	$263.03	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $489.78 / $575.44	Professional		$60.26	$489.78	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $616.60 / $1,096.48	Facility		$112.20	$616.60	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,096.48	Professional		$371.54	$512.86	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $912.01	Professional		$66.07	$89.13	$912.01
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,288.25	Professional		$741.31	$776.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $645.65	Facility		$50.12	$53.70	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $912.01	Professional		$46.77	$77.62	$912.01