Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $199.53	Professional		$85.11	$162.18	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $199.53	Facility		$120.23	$165.96	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $199.53	Professional		$144.54	$186.21	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $39.81	Professional		$30.20	$33.88	$39.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $194.98	Professional		$177.83	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $95.50	Professional		$74.13	$91.20	$95.50