Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,090.30	Professional		$398.11	$1,819.70	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,754.23 / $3,630.78	Professional		$676.08	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $3,715.35	Professional		$501.19	$1,096.48	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $4,570.88	Professional		$4,466.84	$4,570.88	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,698.24 / $4,265.80	Professional		$602.56	$1,698.24	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $758.58 / $1,202.26	Professional		$32.36	$758.58	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $4,365.16	Professional		$741.31	$870.96	$4,365.16
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,248.07	Professional		$741.31	$1,737.80	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $4,365.16	Professional		$446.68	$1,737.80	$4,365.16