Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $912.01	Professional		$245.47	$426.58	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,949.84 / $2,344.23	Facility		$194.98	$1,949.84	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $1,380.38	Professional		$128.82	$194.98	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $562.34 / $660.69	Professional		$44.67	$562.34	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $602.56 / $1,122.02	Facility		$51.29	$602.56	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $512.86 / $1,258.93	Professional		$245.47	$512.86	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $870.96	Professional		$64.57	$87.10	$870.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,479.11	Professional		$501.19	$501.19	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $295.12 / $630.96	Facility		$36.31	$295.12	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $630.96	Professional		$398.11	$446.68	$630.96