Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $630.96	Professional		$30.20	$50.12	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $630.96	Professional		$457.09	$616.60	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $741.31	Professional		$446.68	$537.03	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $630.96 / $5,128.61	Facility		$89.13	$630.96	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $575.44 / $891.25	Professional		$41.69	$575.44	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $169.82	Professional		$30.20	$30.20	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $707.95	Professional		$512.86	$575.44	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13