Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $114.82	Professional		$54.95	$87.10	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $117.49	Facility		$63.10	$93.33	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $109.65	Professional		$81.28	$104.71	$109.65
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 $97.72 / $107.15 / $109.65	Professional		$97.72	$107.15	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $51.29	Professional		$39.81	$47.86	$51.29