Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $162.18	Professional		$63.10	$100.00	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.91 / $288.40	Facility		$14.45	$22.91	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $190.55	Professional		$18.20	$31.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $100.00 / $100.00	Professional		$10.47	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $85.11 / $162.18	Facility		$14.45	$85.11	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $162.18	Professional		$64.57	$85.11	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $93.33 / $125.89	Professional		$9.33	$93.33	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $177.83	Professional		$128.82	$131.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $47.86 / $79.43	Facility		$6.46	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Professional		$50.12	$72.44	$109.65