Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $48.98	Professional		$38.90	$40.74	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $69.18	Facility		$28.18	$34.67	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Facility		$21.88	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Professional		$21.88	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $60.26	Facility		$41.69	$41.69	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $41.69	Professional		$26.92	$40.74	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $131.83	Professional		$81.28	$93.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $70.79 / $70.79	Professional		$7.08	$70.79	$70.79