Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $138.04	Professional		$43.65	$58.88	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $489.78	Facility		$112.20	$239.88	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $93.33	Professional		$72.44	$85.11	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $91.20	Professional		$57.54	$77.62	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $104.71 / $4,466.84	Facility		$54.95	$104.71	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $104.71	Professional		$57.54	$77.62	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $223.87	Professional		$38.90	$39.81	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $17,782.79 / $19,054.61	Facility		$1,819.70	$17,782.79	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $102.33	Professional		$47.86	$67.61	$102.33