Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $58.88 / $83.18	Facility		$54.95	$58.88	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
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 $53.70 / $53.70 / $61.66	Professional		$53.70	$53.70	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18