Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $467.74	Facility		$316.23	$380.19	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $177.83	Facility		$141.25	$141.25	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $575.44	Professional		$354.81	$407.38	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $234.42	Facility		$169.82	$199.53	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80