Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $162.18	Professional		$128.82	$138.04	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $371.54	Facility		$144.54	$181.97	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $199.53	Facility		$138.04	$141.25	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $154.88	Professional		$128.82	$138.04	$154.88
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 $436.52 / $501.19 / $707.95	Professional		$436.52	$501.19	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13