Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,071.52	Professional		$537.03	$660.69	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $870.96 / $1,584.89	Facility		$87.10	$870.96	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $1,202.26	Professional		$104.71	$158.49	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $363.08 / $426.58	Professional		$77.62	$363.08	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.34 / $1,071.52	Facility		$100.00	$562.34	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,096.48	Professional		$537.03	$660.69	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $691.83	Professional		$51.29	$69.18	$691.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,000.00	Professional		$724.44	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $758.58	Facility		$38.02	$288.40	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $707.95	Professional		$380.19	$446.68	$707.95