Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,258.93	Facility		$870.96	$870.96	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $954.99	Professional		$263.03	$398.11	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $912.01 / $1,737.80	Facility		$489.78	$912.01	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Professional		$489.78	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,023.29 / $1,905.46	Facility		$380.19	$1,023.29	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $954.99	Facility		$489.78	$489.78	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $588.84	Professional		$467.74	$512.86	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,737.80	Facility		$724.44	$912.01	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $512.86	Professional		$416.87	$416.87	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $489.78	Professional		$204.17	$204.17	$489.78