Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $190.55	Facility		$79.43	$100.00	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Facility		$87.10	$87.10	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Professional		$91.20	$91.20	$117.49