Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $223.87	Professional		$79.43	$120.23	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $251.19	Professional		$141.25	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $190.55	Professional		$97.72	$138.04	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $275.42	Professional		$141.25	$204.17	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $239.88	Professional		$107.15	$169.82	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $457.09	Professional		$100.00	$144.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $218.78	Professional		$91.20	$141.25	$218.78