Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $87.10	Professional		$61.66	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $91.20	Facility		$67.61	$89.13	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Professional		$85.11	$87.10	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10