Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $177.83	Professional		$58.88	$83.18	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $549.54	Facility		$134.90	$331.13	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $208.93	Professional		$128.82	$151.36	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $1,000.00	Facility		$245.47	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $162.18	Professional		$66.07	$123.03	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Professional		$229.09	$229.09	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $190.55	Facility		$70.79	$97.72	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $208.93	Professional		$85.11	$154.88	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $53.70	Professional		$12.30	$33.11	$53.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $630.96	Facility		$269.15	$436.52	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $208.93	Professional		$123.03	$173.78	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $208.93	Professional		$75.86	$77.62	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $158.49	Professional		$67.61	$83.18	$158.49