Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,949.84	Professional		$870.96	$1,023.29	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,584.89 / $2,818.38	Facility		$158.49	$1,584.89	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $1,862.09	Professional		$177.83	$281.84	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,230.27 / $1,230.27	Professional		$123.03	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $870.96 / $1,949.84	Facility		$169.82	$870.96	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,041.74	Professional		$870.96	$1,023.29	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $1,258.93	Professional		$93.33	$123.03	$1,258.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,778.28	Professional		$1,318.26	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $446.68 / $1,174.90	Facility		$58.88	$446.68	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,096.48	Professional		$588.84	$691.83	$1,096.48