Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $616.60 / $5,495.41	Facility		$120.23	$616.60	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $426.58	Professional		$77.62	$181.97	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $512.86 / $1,023.29	Facility		$223.87	$512.86	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $363.08	Professional		$141.25	$281.84	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $354.81	Professional		$104.71	$223.87	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Professional		$446.68	$446.68	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $478.63	Facility		$87.10	$204.17	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $426.58	Professional		$117.49	$199.53	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $120.23	Professional		$32.36	$75.86	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $398.11	Professional		$141.25	$204.17	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $389.05	Professional		$117.49	$165.96	$389.05
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 $91.20 / $199.53 / $371.54	Professional		$91.20	$199.53	$371.54