Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $5,495.41	Facility		$194.98	$204.17	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $436.52	Professional		$138.04	$245.47	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $512.86	Professional		$316.23	$346.74	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $436.52	Professional		$162.18	$302.00	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $588.84	Facility		$162.18	$257.04	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $524.81	Professional		$181.97	$309.03	$524.81
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 $208.93 / $309.03 / $489.78	Professional		$208.93	$309.03	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $398.11	Professional		$213.80	$234.42	$398.11
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 $141.25 / $223.87 / $346.74	Professional		$141.25	$223.87	$346.74