Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,230.27 / $1,230.27	Facility		$512.86	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $645.65	Professional		$204.17	$338.84	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $891.25	Facility		$602.56	$851.14	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $512.86	Professional		$338.84	$371.54	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $416.87	Facility		$165.96	$346.74	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $575.44	Professional		$173.78	$251.19	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $933.25	Professional		$831.76	$831.76	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $741.31	Facility		$208.93	$416.87	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $549.54	Professional		$323.59	$389.05	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $501.19	Professional		$316.23	$416.87	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $436.52	Professional		$186.21	$186.21	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $245.47	Facility		$95.50	$147.91	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $436.52	Professional		$190.55	$234.42	$436.52