Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $199.53	Facility		$52.48	$67.61	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $50.12	Professional		$42.66	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $95.50	Facility		$50.12	$67.61	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Professional		$50.12	$50.12	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $93.33	Professional		$50.12	$67.61	$93.33