Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,495.41 / $8,709.64	Facility		$1,412.54	$5,495.41	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $186.21 / $416.87	Professional		$69.18	$186.21	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $676.08	Facility		$173.78	$263.03	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $331.13	Professional		$117.49	$251.19	$331.13
BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $18.62 / $44.67 / $53.70	Professional	80	$18.62	$44.67	$53.70
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $15.85 / $18.62 / $44.67	Professional	AS	$15.85	$18.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $346.74	Professional		$85.11	$208.93	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $575.44	Professional		$436.52	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $181.97 / $512.86	Facility		$77.62	$181.97	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $371.54	Professional		$87.10	$190.55	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $109.65	Professional		$32.36	$69.18	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $363.08	Professional		$117.49	$147.91	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $354.81	Professional		$79.43	$154.88	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $371.54	Professional		$79.43	$194.98	$371.54