Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $177.83	Professional		$85.11	$141.25	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $512.86 / $588.84	Facility		$245.47	$512.86	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Professional		$151.36	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $194.98	Professional		$125.89	$162.18	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $257.04	Facility		$114.82	$194.98	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $199.53	Professional		$95.50	$162.18	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $194.98	Professional		$134.90	$162.18	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $223.87	Professional		$81.28	$81.28	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $208.93	Professional		$91.20	$138.04	$208.93