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 $57.54 / $144.54 / $263.03	Professional		$57.54	$144.54	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $363.08 / $831.76	Facility		$177.83	$363.08	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $302.00	Professional		$104.71	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $281.84	Professional		$75.86	$162.18	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $316.23	Professional		$269.15	$269.15	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $162.18 / $398.11	Facility		$61.66	$162.18	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $323.59	Professional		$85.11	$144.54	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $97.72	Professional		$32.36	$61.66	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $309.03	Professional		$102.33	$128.82	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $302.00	Professional		$100.00	$138.04	$302.00
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 $66.07 / $147.91 / $281.84	Professional		$66.07	$147.91	$281.84