Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $5,495.41	Facility		$204.17	$407.38	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $346.74	Professional		$67.61	$144.54	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $288.40 / $371.54	Facility		$223.87	$288.40	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $251.19	Professional		$104.71	$169.82	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $234.42	Professional		$85.11	$134.90	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $398.11	Facility		$69.18	$173.78	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $295.12	Professional		$93.33	$169.82	$295.12
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 $107.15 / $169.82 / $288.40	Professional		$107.15	$169.82	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $338.84	Professional		$69.18	$138.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $263.03	Professional		$83.18	$147.91	$263.03