Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $229.09	Professional		$83.18	$107.15	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $870.96 / $1,318.26	Facility		$288.40	$870.96	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $251.19	Professional		$151.36	$177.83	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $2,089.30	Facility		$501.19	$1,230.27	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $218.78	Professional		$95.50	$158.49	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $323.59	Professional		$295.12	$295.12	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $263.03	Facility		$91.20	$151.36	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $234.42	Professional		$104.71	$190.55	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $64.57	Professional		$20.42	$33.11	$64.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,318.26	Facility		$707.95	$912.01	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $269.15	Professional		$162.18	$208.93	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $263.03	Professional		$89.13	$91.20	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $213.80	Professional		$102.33	$114.82	$213.80