Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,995.26	Professional		$891.25	$1,071.52	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,659.59 / $3,235.94	Facility		$165.96	$1,659.59	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $2,137.96	Professional		$190.55	$302.00	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $426.58 / $501.19	Professional		$141.25	$426.58	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $602.56 / $1,778.28	Facility		$173.78	$602.56	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,995.26	Professional		$891.25	$1,071.52	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $977.24 / $1,318.26	Professional		$100.00	$977.24	$1,318.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,905.46	Professional		$1,513.56	$1,862.09	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $870.96 / $1,445.44	Facility		$117.49	$870.96	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,445.44	Professional		$891.25	$1,230.27	$1,445.44