Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $213.80	Professional		$85.11	$162.18	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
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 $128.82 / $173.78 / $213.80	Facility		$128.82	$173.78	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $213.80	Professional		$154.88	$199.53	$213.80
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 $190.55 / $213.80 / $213.80	Professional		$190.55	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $95.50	Professional		$74.13	$89.13	$95.50