Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $281.84 / $281.84	Facility		$123.03	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $190.55	Professional		$114.82	$154.88	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Facility		$575.44	$575.44	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $263.03	Facility		$131.83	$190.55	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $190.55	Professional		$125.89	$154.88	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62