Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $588.84	Professional		$229.09	$288.40	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $1,023.29	Facility		$562.34	$602.56	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $812.83	Professional		$645.65	$676.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Facility		$309.03	$309.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $380.19	Professional		$263.03	$309.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $660.69	Facility		$223.87	$323.59	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $467.74	Professional		$407.38	$426.58	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $446.68 / $457.09	Professional		$45.71	$446.68	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $169.82 / $309.03	Facility		$22.91	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $363.08	Professional		$229.09	$302.00	$363.08