Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.63	Professional		$2.00	$2.00	$2.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.95 / $5.62	Facility		$2.34	$2.95	$5.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.88 / $3.24	Facility		$2.24	$2.88	$3.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
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 $6.76 / $7.76 / $10.96	Professional		$6.76	$7.76	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.16	Professional		$2.24	$2.24	$3.16