Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $275.42	Professional		$123.03	$158.49	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $436.52	Facility		$128.82	$194.98	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $107.15	Professional		$91.20	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $346.74	Professional		$177.83	$234.42	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $549.54	Professional		$489.78	$489.78	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $371.54	Facility		$123.03	$194.98	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $338.84	Professional		$104.71	$162.18	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $346.74	Professional		$263.03	$323.59	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $338.84	Professional		$117.49	$165.96	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $331.13	Professional		$158.49	$177.83	$331.13