Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $44.67	Professional		$19.95	$37.15	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $53.70	Facility		$30.90	$42.66	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $53.70	Professional		$36.31	$51.29	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Professional		$18.62	$18.62	$21.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $57.54	Professional		$48.98	$53.70	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $27.54	Professional		$17.78	$21.38	$27.54